The Changing Table Community Partner Application
The Changing Table is a 501(c)(3) nonprofit charitable organization.  Our mission is "improving the health and dignity of Mid-Missouri families by providing sustainable access to diapers and period products."

Please tell us more about your organization, the social service(s) you provide and some general information about your average diaper needs (number of families you serve with diaper needs, sizes needed, frequency of distribution, etc)

After filling out this form, please fill out the Partner Agreement form.  If you need your board's approval prior finalizing our partnership you can obtain a printable version of this form HERE as well as a printable version of the Partner Agreement form HERE.

One of our volunteers will be in touch with you in the days following submitting these forms.  The Changing Table has the right to decline applications based on a variety of criteria and community needs.  During this application process, a site visit and/or agency interview may be requested.  

If your application is approved you will be contacted and on-boarded as a Community Partner.
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Email *
Organization Name *
Are you a new or renewing partner? *
Please check the description that best describes your organization *
Required
Organization Mailing Address *
Director's Name *
Director's Email *
Main Contact (if different than director)
Contact Phone #
Contact Email
Agency mission/service(s) provided to the community *
How does having diapers supplies affect your mission? *
Which counties do serve?  Check all that apply and write in ones that aren't listed *
Required
Approximately how many families/people in need of diapers do you serve each month? *
What size diapers do you typically need?  Check all that applyl *
Required
What type of period supplies will you need?
Clear selection
How frequently do/will you distribute diapers/period supplies? *
What will you use as determination factors for diaper supplies/period supplies eligibility? *
Required
What days of the week are you most available for pick up?  Check all that apply *
Required
Diapers are stored at our facility in Osage Beach.  Will you be able to send someone to pick up? *
Do you receive diapers or period supplies from other sources? *
Do you have a budget for diapers or period products? *
Do you have a need for adult diapers?  Our hope is to start offering adult diaper products sometime in 2022. *
If approved, may we use your agency's information on our website as a partner agency?  If so, please email logo and contact information for the general public to jessica@changingtable.org *
When giving out diapers you will be required to fill out a simple, one page sheet of paper each time you give diapers out.  Most questions are "circle answer" questions.  Are you willing and able to do this?
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In order to distribute diapers from The Changing Table each diaper user will be given a "diaper user number" that consists of their birthdate and the last 4 of the diaper user's social security number.  This number will be required on each of the paper forms each time you give out diapers.  It's how we track how often and where diaper users are going for supplies.   We will provide you will cards to write the diaper user number on so that the person can present it each time you give them diapers. Are you willing to require this information from your clients?
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