Food Grant Report Please use this form to record the impact the United Way of Greater Fall River Food Grant had on your organization. This data will help us best serve the local communities in coming years. Step 1 of 5 20% Name of Organization* Organization Type* Food Pantry Soup Kitchen Shelter All of the above Primary Contact* First Last Phone*Email* Mailing 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 Primary Areas Served*Fall RiverWestportSwanseaSomersetAssonetLittle ComptonTivertonDate Grant Received* MM slash DD slash YYYY Grant amount received* Number of individual meals provided by United Way funding*If you provide food baskets, please approximate the number of meals in each basket.Total number of meals served annually from all sources of funding.*Average cost per meal* Number of infants0-24 monthsNumber of childrenAges 2-15Number of young adultsAges 16-25Number of senior citizensAge 65+Number of veteransNumber of homeless individualsNumber of families servedNumber of households served Number of volunteers per week*Number of volunteer hours per week*Do you use VolunteerSouthcoast to attract volunteers and record volunteer data and information?*YesNoI'd like to learn more about how to use Volunteer Southcoast. Additional Services*Do you provide other services to your clients, such as the distribution of clothing or hygiene products, case management, group sessions, etc? yes no Other Services Provided*Please describe the additional services you provide for clients beyond those relating to food stabilityTell us more*Use this space to tell us more about your program in addition to what you've shared above, for example: tell us about a family you've served or what you could do if you had more funding, provide a testimonial from a client or explain how you would expand your reach. Be sure to include what else we can do to support your organization.Additional support documentsPlease provide any additional documentation, photos, etc that support the work you do in the community Drop files here or Select files Accepted file types: pdf, doc, jpg, gif, Max. file size: 64 MB. Signature*The information provided herein is accurate to the best of my knowledge.
