Roadrunner Food Bank Partner Application

Please identify the person responsible for operating the food program.

Enter the Primary Contact's email address

Enter in the Primary Contact's phone number

Identify a secondary person who can be reached via email or phone to answer questions on behalf of the organization

Enter in the Alternate Contact's Phone

Select all that apply

Enter if available. If no start date exists, leave blank.

Select all that apply

Please describe: picture ID, income; participating in meetings/services, living in the community/zip code, etc.

Include how the records will be stored, security of data, etc. Note: Roadrunner Food Bank offers a free system to register people visiting your food distribution. It is available for all affiliated partner agencies to use.

Examples may include: seniors, children, veterans, people in certain zip codes/communities, those with chronic health issues, etc.

Or numbers you anticipate serving (if a new program).

Please include any details about how you will recruit volunteers (if a new program or if you want to expand an existing food program to serve more people).

Please describe the anticipated budget for your food program? Consider needed supplies including thermometers, office supplies, gloves, sanitation equipment, boxes, bags, on-site food storage costs (if you have a building), etc.