Outreach Request Please complete this form to request a truck or counselor at an event. This form must be filled out 4 weeks before your event date. Truck: The GCFB Outreach Truck can bring small amounts of fresh produce (based on produce availability) to an outside event as we engage individuals around SNAP, other Public Benefits and community resources. The event must be held outside and provide space for our 28-foot truck to be parked and visible. Community Outreach Coordinator: GCFB Community Outreach Coordinators are available to engage individuals at various community organizations, health partners and emergency feeding programs around SNAP, other Public Benefits and community resources. Presentation/Information Session: GCFB Community Outreach team members are available to present information about the Food Bank and the services we offer.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*Ex: Seniors, Adults, Children, etc. 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 PhoneThis field is for validation purposes and should be left unchanged.
