Commitment to Community Partner Application

Before filling out this application, please be sure to review the following information links and gather what you will need to complete your application.

Review our:

• Commitment to Community Programs Policies
• Ends Policies
• Cooperative Principles
• Review online, or download a PDF our Commitment to Community Partner Policy
• Have ready, in digital format (PDF, PNG, GIF, JPG, OR JPEG)
  • Mission Statement
  • 501(c)3 documentation (your organization must be established as a 501(c)(3) to be eligible as a Community Partner)
  • Your organization’s EIN# (Employer ID Number)
  • Contact information; specifically the person to contact if we have questions; the person who will be approving and submitting shareholder hours to the co-op, and/or who our shareholders would be in touch with to schedule volunteer hours.
    

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    Commitment to Community Partner Application

    Application to become a partner with the Brattleboro Food Co-op with regard to Shareholder hours to be completed off-site with a local, approved, community organization.

    Application Information

    Date(Required)

    MM slash DD slash YYYY

    Organization Name(Required)

    Organization EIN# (Employer Identification Number)(Required)

    Please attach proof of insurance.(Required)

    Drop files here or Select files

    Accepted file types: pdf, png, gif, jpg, jpeg, Max. file size: 50 MB.

    Please attach proof of 501(c)3 status.(Required)

    Drop files here or Select files

    Accepted file types: pdf, png, gif, jpg, jpeg, Max. file size: 50 MB.

    Mailing Address(Required)

    Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

    Organization Telephone:(Required)

    Organization Website URL:(Required)

    IE: www.yoursite.org

    Organization's Social Media(Required)

    Facebook

    instagram

    Twitter

    YouTube

    We do not have SM accounts

    Select All

    Please check off as many as apply. If you would like to add more information, please do so in the comments field at the end of this application.

    Organization Information

    Organization's Mission(Required)

    Please provide a description of your organization's mission.

    Organization's MissionHow does your organization's mission relate to Brattleboro Food Co-op's Ends Policies?(Required)

    How does your organization's mission relate to Brattleboro Food Co-op's Cooperative Principles?(Required)

    Primary Contact Info

    Primary Contact:(Required)

    First Last

    The point person from your organization for the Co-op to contact with any questions.

    Preferred Pronoun(Required)

    If you have a preferred pronoun please indicate that here (IE: she/her/hers, he/him/his, they/them/theirs)

    Prime Contact Telephone:(Required)

    Can this number accept text messages?(Required)

    Yes

    No

    Prime Contact Email Address:(Required)

    BFC Volunteer Workers' Information:

    Is the Prime Contact the person whom our volunteers will schedule and record work hours with?(Required)

    Yes

    No

    If you answered no, please provide the the correct point person for our volunteer workers.

    Please provide: • Contact Name • Telephone (and can they accept text)

    Is the Prime Contact the person who will be the liaison to the Co-op in verifying volunteer hours?(Required)

    Yes

    No

    If you answered no, please provide the the correct point person to expect volunteer verification from.

    Please provide: • Contact Name • Telephone (and can they accept text)

    How will your organization ensure BFC Shareholder Workers Hours are accurately recorded and reported to Brattleboro Food Co-op each month?(Required)

    How many volunteers do you currently work with each month?(Required)

    Please list typical tasks you ask your volunteers to perform?(Required)

    Please give us an idea of the tasks you would like to have our BFC Shareholder Workers perform for you.(Required)

    Please give us an idea of the tasks you would like to have our BFC Shareholder Workers perform for you.(Required)

    Comments or Additional Information

    What else do we need to know?

    Please use this space to let us know anything you feel we need to know that wasn't covered, or to give us additional contact information.

    That's it!

    Check our confirmation box and submit your application. You will receive notification that your application was received. You will be contacted once your application has been reviewed.

    Please check this box to confirm.(Required)

    I have read, and understand, the outlined policies and procedures required to become a Commitment to Community Partner. If accepted, we agree to abide by these principles, and be diligent in recording and reporting Volunteer Hours to the Co-op.

    Comments

    This field is for validation purposes and should be left unchanged.