Monthly Agency Report

Report information is due on the 10th of the Month. The report covers the previous month of distribution and service. A report needs to be submitted even when no food orders are placed.

Agency Type(Required)

Pantry/Meals

Senior Safety Net

Van Distribution

Operation Full Pack

Agency(Required)

Please select your agency from the Dropdown Menu.

Van Distribution

Senior Safety Net

Please select your agency from the Dropdown Menu.

Operation Full Pack

Please select your agency from the Dropdown Menu.

Person Completing Form

First Last

Email(Required)

Month Reporting

If reporting multiple months, please submit each month separately.

Which apply to your program:(Required)

MEALS

SNACKS

PANTRY

MEALS

Meals Served This Month?

For meal programs, how many total meals (# of people served at each meal) were served this month?

First Time Attendees?

For how many people is this their first time attending your meal distribution this year?

SNACKS

Snacks Served this Month?

How many total snacks did you serve to each person this month (# of people multiplied by the number of times you served a snack)?

First Time Attendees?

For how many people is this their first time attending your snack distribution this year?

FOOD PANTRY & NON-FOOD PANTRY

This section only if you operate some sort of pantry or other bulk-distribution program.

Households Served?

How many households were served by your agency this month?

First Time Attendees?

For how many people is this their first time attending your pantry this year?

Pounds from OTHER SOURCES than Second Harvest

In general, 1 Item = 1 lb. Do NOT Include Second Harvest Food Bank Pounds in this section

How many pounds were donated to your organization this month?

How many pounds did you purchase at retail/wholesale stores this month?

What Success Stories have your attendants or volunteers shared this month?(Required)

Comments/Questions/Concerns?

Hidden

When is your pantry normally open to the public?(Required)

Hidden

Will your pantry's hours/distribution change at all during the holiday season?(Required)

Yes, we will be closed/open at different times

No, no changes

Hidden

What special openings, closings, or events will you have this Holiday Season?(Required)

Let's make sure your information is up-to-date

We share resource guides with our community, this is the one for your county. Please make sure the listed information for your county is correct. If you're not a public agency, you don't need to worry about this part.

The information about our agency in the resource guide...

Needs an update

Is correct, no changes needed

NA/, we do no want be listed as a public pantry

I'm not listed and I'd like to be!

Phone Number?

If correct in the guide, leave blank.

Address of your distributions/meals?

If correct in the guide, leave blank.

Is there any other information missing?

If correct in the guide, leave blank.

What Wraparound Services do you provide?(Required)

We plan to better highlight the additional services neighbors in need might be able to find at food-provider locations. Please check all that you want to be publicly identified as providing.

Title

USD

Monthly Agency Report

MEALS

SNACKS

FOOD PANTRY & NON-FOOD PANTRY

Pounds from OTHER SOURCES than Second Harvest

Let's make sure your information is up-to-date

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Monthly Agency Report