Community Food Member Application Form
Before you complete this form, please ensure your project meets the criteria as outlined in the 'access food' section of the FareShare Sussex website.
Organisation name
Your answer
Charity number / legal status
Your answer
Website
Your answer
Primary contact name
Your answer
Delivery address
Your answer
Local authority
Your answer
Food order contact name
Your answer
Food order contact number (office phone)
Your answer
Food order contact number (mobile phone)
Your answer
Food order contact email
Your answer
Food order - alternative contact
Your answer
Financial contact name
Your answer
Financial contact number (office phone)
Your answer
Financial contact number (mobile phone)
Your answer
Financial contact email
Your answer
Financial - alternative contact
Your answer
Marketing contact name
Your answer
Marketing contact number (office phone)
Your answer
Marketing contact number (mobile phone)
Your answer
Marketing contact email
Your answer
Marketing - alternative contact
Your answer
Services Information: main client group
Please select your main client group
Please select your project's primary activity
Please select your project's *secondary* activity
Please select your project's *tertiary* activity
Beneficiary group GENDER: males
Please state the percentage breakdown of male beneficiaries
Your answer
Beneficiary group GENDER: females
Please state the percentage breakdown of female beneficiaries.
Your answer
Beneficiary group GENDER: none of the above
Please state the percentage breakdown of 'none of the above' beneficiaries.
Your answer
Beneficiary group GENDER: prefer not to say
Please state the percentage breakdown of 'prefer not to say' beneficiaries. Please note this answer and the previous three should total 100%
Your answer
Beneficiary group AGE: children under 11
Please state the percentage of beneficiaries who are children under 11
Your answer
Beneficiary group AGE: children 11-15
Please state the percentage of beneficiaries who are children 11-15
Your answer
Beneficiary group AGE: young adults 16-25
Please state the percentage of beneficiaries who are aged 16-25
Your answer
Beneficiary group AGE: adults 26-65
Please state the percentage of beneficiaries aged 26-65
Your answer
Beneficiary group AGE: elderly over 65
Please state the percentage of beneficiaries aged over 65. This answer and the previous 4 should total 100%
Your answer
Beneficiary group ETHNICITY: Asian
Please state the percentage of beneficiaries who are Asian
Your answer
Beneficiary group ETHNICITY: Black
Please state the percentage of beneficiaries who are Black
Your answer
Beneficiary group ETHNICITY: White
Please state the percentage of beneficiaries who are White
Your answer
Beneficiary group ETHNICITY: Mixed Ethnicity
Please state the percentage of beneficiaries who are Mixed Ethnicity
Your answer
Beneficiary group ETHNICITY: Other
Please state the percentage of beneficiaries who are 'Other'
Your answer
Beneficiary group ETHNICITY: Prefer not to say
Please state the percentage of beneficiaries who are 'Prefer not to say'. Please note this answer and the above five should total 100%
Your answer
Which of the following is your project's primary service?
Which of the following is your project's *secondary* service?
Which of the following is your project's *tertiary* service?
Average number of beneficiaries per day
Your answer
Average number of unique beneficiaries per week
Your answer
How is the project funded?
Your answer
What is the amount spent on food each month?
Your answer
What food service do you provide or plan to provide?
Required
Serving details
Please select the days of the week you serve food or give out food parcels
Required
Total meals per week
Your answer
Total food parcels per week
Your answer
Please select the types of communications you would like to receive / media activities you would be willing to undertake
Other comments about comms & media
Your answer
Please tick this box if you do not wish for your organisation to be mentioned externally and identified in FareShare marketing materials.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms