Food Box Location Suggestion

Your Name *

Organization, Building or Community Group with which you are affiliated *

What is the website?

Your email address *

Your Phone Number *

Borough & Neighborhood *

Site Address *

Primary Use of Site *

Name of Property Owner *

Property Owner Email Address *

Property Owner Phone Number *

Fresh Food Box needs a minimum of 30 customers every week to ensure all customers get the best combination of fresh fruit and vegetables, for great prices. Do you think your site has enough interest to meet this minimum? *

How many people utilize this site on a daily basis? *

Does this site have other health & wellness programs that would run concurrently with Fresh Food Box? If yes, please describe. *

Do you have an area where we can set up outside of your building? It must have good foot traffic. *

Do you have 2 tables that can be used outside? *

Do you have capability to store several items for Fresh Food Box on site? We would need to store a tent (5 ft x 1.5 ft), a box of supplies (2 ft x 2 ft), as well as paper bags (2 ft x 2 ft). *

Fresh Food Box site partners are required to participate in outreach, as well as assisting our coordinators for a couple of hours each week. Do you have a staff member that can give 2-4 hours a week to project? *

Fresh Food Box is a non-profit and is funded entirely by grants. We ask that our community partners make a grant of support for operational expenses such as staffing, transportation, and materials. Would your organization be able to contribute? *

Is there anything else we should take into consideration when evaluating this site? *

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Food Box Location Suggestion

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