New Community Partner Proposal
Thank you for your application.

By being a Community Partner you are consenting to us storing your data, for communication, charity updates and delivery purposes.  

Occasionally donations come directly from a third party so your details may need to be shared for these purposes only.

To receive donations from our projects, your organisation must work towards the relief of poverty or economic hardship or the promotion of health, including the prevention or relief of sickness, disease or human suffering.
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Date *
MM
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DD
/
YYYY
Who is Completing this Form? *
If a Hygiene Bank Volunteer, which Project are you apart of? *
Project Coordinator Name
Name of Community Partner *
Charity Number if Applicable *
Address *
Who is supported by the Organisation? *
Contact Name (in the organisation) *
Contact Number/Email *
How Many Do They Support Per Month? Please specify if individuals or household *
What Items do they Accept? *
Required
What do they NOT Accept? *
Required
How often would they (ideally) need support? *
Would they collect from us? *
Preferred Drop Off time (eg 9-5 or Wednesday lunchtimes or evenings etc)
You accept they meet the eligibility criteria *
Required
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