Rock & Wrap It Up! Hungerpedia - Agency Vetting Form
Please complete the form and submit when completed. If you have any questions, contact Jessie Plotkin, RWU National Asset Recovery Manager, at 516-509-6136 . Please note that the answers to questions numbered 1-5 must be Yes for your organization to qualify.
Today's Date
MM
/
DD
/
YYYY
Organization Name
Your answer
Address
Your answer
City
Your answer
State/Province
Your answer
Zip/Postal Code
Your answer
Country
Your answer
Phone Number
Your answer
Contact Person
Your answer
Email Address
Your answer
Hours
Your answer
Website
Your answer
Notes (please add any extra information donors should know about your agency)
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms