Outreach Request Please complete this form to request our Outreach Truck, a Community Outreach Coordinator or a Presentation/Information Session. This form must be submitted four (4) weeks prior to the event date. Thanks! Outreach Truck: The team will bring our Outreach Truck along with Community Outreach Coordinator(s) to your outside event. We can also bring small amounts of fresh produce (based on availability). The team will engage individuals and families to ensure they know where in their community to access food, share information about and assist with applications for SNAP and other public benefits and share additional resources. The event must be held outside and provide space for our 28-foot truck to be parked and visible. Community Outreach Coordinator: Community Outreach Coordinators are available to attend your event special to engage individuals and families. The team will engage individuals and families to ensure they know where in their community to access food, share information about and assist with applications for SNAP and other public benefits and share additional resources. Presentation/Information Session: Community Outreach team members are available to present information about the Food Bank and the services we offer. These sessions can range from 20-60 minutes and cover the direct services provided through our Community Outreach, Help Center, Community Access and Community Resource Center teams. Audiences well suited for these sessions include anyone who connects with people who are in need of assistance and/or may be eligible for public benefits.Expected Attendance*Approximations are fine!Is the event indoors, outdoors or both?*Is the event indoors, outdoors or both? Indoors Outdoors Both Type of Request* Community Outreach Coordinator Presentation/Information Session Do you want the Outreach truck present at your event? Yes No Name* First Last Organization/Group Name* Email* Phone*Preferred Method of Contact* Email Phone HiddenDate MM slash DD slash YYYY HiddenStart Time* Start Date* MM slash DD slash YYYY Start Time* : Hours Minutes AM PM AM/PM End Date* MM slash DD slash YYYY End Time* : Hours Minutes AM PM AM/PM Location* Street Address Address Line 2 City ZIP / Postal Code Demographics* Older adults who could be eligible for public benefits Adults who could be eligible for public benefits Children of families that may be eligible for public benefits All the above Description of Event* Food Resources (if available)*Food resources are subject to availability Produce Shelf Stable Items Snack Items None Is this event free to the public?* Yes No How did you hear about us?* What is the mission of your event?HiddenHow did you hear about us? OLD First Choice Second Choice Other HiddenEnter Other OLD EmailThis field is for validation purposes and should be left unchanged.
