Partner Agency Application
Thank you for your interest in partnering with Share Our Spare to provide essential items for families in need across Chicagoland. All agencies interested in partnering with Share Our Spare must complete this initial application form. Someone from our organization will reach out to you with more information when we are able to move forward with adding you as one of our agency partners.
Email address *
Agency Name *
Your answer
Agency Address *
Your answer
Agency Representative Name *
Your answer
Agency Representative Title *
Your answer
Agency Representative Email *
Your answer
Agency Mission *
Your answer
Brief Description of Social Services Provided *
Your answer
Counties/Areas Served *
Your answer
Total Families Served Each Year *
Your answer
Total Children Served Each Year *
Your answer
Children Served Each Year Age 0-12 Months *
Your answer
Children Served Each Year Age 12-24 Months *
Your answer
Children Served Each Year Age 2-5 Years *
Your answer
What percentage of your clients fall below the Federal poverty line? *
Your answer
What baby and toddler items are your clients most in need of? (check all that apply) *
Required
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