SKCFC South King County EFAP Pre-Screening Questionnaire

Emergency Food Assistance Program (EFAP): A state-funded program that supports local emergency food providers with funding to help alleviate hunger. The funding is flexible and may be used for the purchase of food, operational costs, nutrition training and equipment or repairs. 

South King County Food Coalition serves as one of three lead agencies for the King County allocation of EFAP funds.

Please fill out this questionnaire if you are:

1. Interested in becoming an EFAP Sub-Agency
2. Your organization operates in south King County
3. Your organization is eligible to become an EFAP Sub-Agency (if unsure, please email director@skcfc.org) 

Please consult the Emergency Food Assistance Programs (EFAP) Procedures Manual for Food Pantry Contractors and Subcontractors for more information about the program, allocation, qualification, and compliance.

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Point of Contact
Title *
Title Examples: Executive Director, Program Manager, Operations Manager, etc.
First name *
Last name *
Suffix
Email for Point of Contact *
Phone Number for Point of Contact *
Organization Information
Name of Organization *
Name of Organization as Listed with Secretary of State
Tax Identification Number (TIN) *
System of Award Management (SAM) Number *
SAM Expiration Date *
Is your organization a public agency or 501(c)3 exempt nonprofit? *
Has your organization been providing food service for at least one year from the beginning of the EFAP contract period (July 1, 2023)? *
Meal programs are not eligible for EFAP funds
Is your organization registered as a nonprofit agency with Washington State Secretary of State's office? *
Please enter your organization's distribution schedule including days of the week and hours of operation *
Which of the following distribution services does your organization provide? *
Required
Provide a short overview (300 words or less) of your program(s).  *
What types of food are distributed through your program(s)? *
Required
What client data have you acquired from the previous year? Check all that apply. *
Required
Do you track monthly service numbers? *
How many households and individuals in South King County did you serve (unduplicated and duplicated) in 2022?

Please format your question in the following format:
Unduplicated households _______
Duplicated households _________
Total households __________

Unduplicated individuals _______
Duplicated individuals _________
Total individuals __________
Add definition of "unduplicated" means each household/individual is only being counted one time and "duplicated" means how many repeat visits were made. For example, if a family of four came to the food bank 4x in a year they would have made one "unduplicated" visit and three "duplicated" visits. Add these two numbers together to receive the total households/individuals. This would be noted as four "unduplicated" individuals and twelve "duplicated" individuals.
Do you track pounds of food distribution per month? *
How many pounds of food does your organization distribute per month on average?
How often may a client receive food service at your food location? *
For example, can community members visit your location daily, weekly, monthly, etc.?
Do you currently have a client eligibility policy? *
A client eligibility policy states who qualifies to receive food service at your organization

If yes, email it to director@skcfc.org
Financial Information
EFAP funding in South King County will be reimbursement based only. Is your organization able to operate on a reimbursement basis? *
"Reimbursement" means your organization will directly pay bills and then request repayment from SKCFC. Reimbursement can take up to two months to arrive.
What are the dates of your organization's fiscal year? (ie: Jan 1 - Dec 31, July 1 - June 31, etc.)
 *
Funding Match information
Your program must equally match the EFAP funding allocated to your organization with funds from other sources.

There are two types of match:
-Cash Match: this is funding your organization has received from another source, which could be another government contract, a grant award, or donations/fundraising. 
-In-Kind Match: this may include the value of foods from TEFAP, CSFP, and other programs serving EFAP clients and food pantries, the value of services or labor provided on a volunteer basis, and/or the value of transportation donated. WSDA's current in-kind rates are $1.82 per lb of food, $16.69 per hour of volunteer services, and $0.56 per mile of donated volunteer mileage. 

Your organization can meet the match requirement in two ways:
-100% match. At least 50% must be in cash; the remainder can be in-kind. For example, if your EFAP allocation for the first year is $10,000.00, then your organization must be able to provide documentation of at least $5,000.00 funding from other sources plus $5,000 worth of in-kind support.
-200% in-kind match. You can meet the match requirement with in-kind support, but it must be 200% of your funding amount. For example, if your EFAP allocation is $10,000.00 then you would need to provide documentation of $10,000.00 in in-kind value from donated food, volunteer hours, volunteer mileage, or other in-kind support.
As part of the funding requirement, is your organization able to provide a 200% in-kind match or 100% match that is at least 50% cash match? *
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