Food and Funds Drives "*" indicates required fields Please fill out the form if you are interested in or have plans to start a Food and Funds drive. If you have any questions or concerns please email hdickson@clevelandfoodbank.org. Thank you!Coordinator First and Last Name*(This is your contact information) First Last Email* Phone*Is this with a school, business, organization, or corporation?* Yes No Contact InformationJob Title*Organization Name*Organization or School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Number of Employees or Students*Please specify if your number of employees/students represents your entire office or a branch/department of your organization.Type of Organization*CompanyIndependent/Small BusinessMembership AssociationNonprofit OrganizationGovernment AgencySchool/Educational InstitutionCivic GroupFaith-Based OrganizationOtherIf Other, please describePlease Check Which Work Format Applies To Your Organization*Full-Time In-OfficeHybridRemoteSchoolN/A Top Local Contact InformationThis information will be used to update our records with your CEO, President, Principal, or drive leader’s contact information.Title*Prefix*Name* First Last Email* Campaign Start and End DatesIf you know the start and end date of your campaign, please enter that information now. If not - let us know when you set the dates of your campaign by emailing hbutler@clevelandfoodbank.org.Start Date* End Date Campaign GoalWhat are you collecting? no Food Funds Food & Funds Other What are you collecting?*FoodFundsFood & FundsAre you coordinating a drive for the first time?* Yes No Please let us know if you'd like information on any of the following: Event sponsorship information Presentation Food Bank facility tour Volunteer opportunities Any other notes/comments?