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Recipient Agency Intake Form

Food Deliver Request
Aloha Harvest picks up food donations 7 days a week.  These donations include all forms of quality excess food: fresh, frozen, prepared, raw, dry, etc.  Our hard working drivers then distribute the food donations same day to our database of partner Recipient Agencies.  

Recipient Agencies
A Recipient Agency is any organization that distributes food to individuals in need.  We distribute food donations based on the need, storage capacity, location, and hours of each  Recipient Agency.  We strive to equally distribute food between all our partner Recipient Agencies. If you wish to be on the waiting list to receive food in our regular rotation, please select "Recipient Agency".

Food Distribution Events
Aloha Harvest also supports special food distribution events.  These events are treated as one time occurrences, as special planning for staffing and distribution is needed. If you want to partner with Aloha Harvest to receive food for your event, please select "Food Distribution Event".  

An example of a Recipient Agency is a food bank that distributes food to individuals on a regular basis. Recipient Agencies have a general need for food all the time. An example of a Food Distribution Event would be a local high school distributing food to its student's families at their school football arena.

Recipient Agency Application

Who are you?







Organization Point of Contact Information
Please provide the name and contact information for the person who will be the primary Organization Point of Contact. The Organization Point of Contact is the individual we should contact to update any account information. They are in charge of receiving the donation receipts and coordinating the food donations. Note that we will ask you in a different section to specify a point of contact who will meet our drivers for each delivery appointment.





Organization Information
Please provide the account information for the organization making the donation. Note the organization address might be different than the address where you want us to deliver the food, only list the organization address here.  

Organization Address




Mailing Address




Additional Organization Information


This is the general office number for the business. If no general business number exits, please use the number for the primary business contact.

This is the general email for the business. If no general business email exists, please use the email for the primary business contact.



Donation Receipt Information

Receipt Details

We will provide a monthly summary receipt. If you want it more frequently, please specify every occurrence here.


Receipt Email Information

Receipt Address
Address for Receipt




Demographic Information

We are required to collect demographic information for the people we serve. This information will help us secure future funding and to better serve the community. Please note that even if you do not officially collect or track demographic information of the people you serve, please make your best guess if possibly, so we can have an estimate.
Demographic Data Source





Please describe the process you use to collect demographic information. Do you have people fill out a questionaire whenever they pick up food? Do you send a yearly questionnaire? How is this information stored? How often is it updated?
Demographic Data
Please note that not all sections are required. Please enter the data for the sections that you have, or have estimates for.
Racial Breakdown
Please choose the racial percentage of your demographic served.  The percentage for all choices must add up to 100%.
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Age Breakdown
Please choose the age breakdown of your demographic served.  The percentage for all choices must add up to 100%.
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Gender
Please choose the gender breakdown of your demographic served.  The percentage for all choices must add up to 100%.
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Education
Please choose the educational breakdown of your demographic served.  The percentage for all choices must add up to 100%.
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Employment
Please choose the employment breakdown of your demographic served.  The percentage for all choices must add up to 100%.
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Household Type
What is the breakdown of the average household type of the individuals you serve?  The percentage for all choices must add up to 100%.
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Population Characteristics
Out of all your recipients, what is the percentage of people that have these characteristics. Input a percentage from 0-100% for each characteristic. For this section, the percentages do not have to add up to 100%.
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Food Delivery Scheduling Information

Delivery Point of Contact
The Delivery Point of Contact is the individual who will meet our drivers at your delivery location to drop off the food.  Our drivers will try call this contact prior to arriving to verify appointment details.  If the individual meeting our drivers is different every appointment, please use the information for a single person our drivers can contact every time so that they can verify who is assigned to meet them.
Delivery Point of Contact Information





Delivery Location Information
Delivery Location Information






Please provide any special Covid practices or procedures you would like our drivers to follow when picking up your food donation.

Please provide any additional instructions that our drivers should note when picking up from your location. This includes where to park, gate codes, which door to use, where to find the food, etc.
Food Need




Please specify how often. If its every week, please list the day and times you serve meals.


Please specify how often. If its every week, please list the day and times you are open to distribute.
Storage Capacity


Please provide dimensions if possible. For example: a 10ft by 8 ft room, shelves for 25 paper grocery bags full.


Please provide equipment description and/or dimensions. E.g. 1 standard kitchen refrigerator OR 20 square foot walk in refrigerator.


Please provide equipment description and/or dimensions. E.g. 1 standard kitchen side by side freezer OR a 15 square foot walk in freezer.

Please provide details on if Aloha Harvest should not deliver on certain days. Often Distribution Agencies receive donations from multiple sources, so we do not want to deliver on the same day of someone else if the space will be full.
Scheduling Information





Please select the days of the week that a food delivery is possible and the time window our drivers can meet someone to drop off the food.
Select Days Start Time End Time
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Event Information

Event Point of Contact
The Event Point of Contact is the individual who will meet our drivers at your event delivery location to drop off the food.  Our drivers will try call this contact prior to arriving to verify appointment details.
Event Point of Contact Information





Event Location
Event Location Information






Please provide any special Covid practices or procedures you would like our drivers to follow when picking up your food donation.

Please provide any additional instructions that our drivers should note when delivering food to your location.  This includes where to park, gate codes, which door to use, where to find the food, etc.
Event Details


What time will individuals arrive to pickup food?

When will you stop accepting individuals to pickup food?




Please be as specific as possible. Do you want to donate pantry items, prepared meals, meal packs, etc. If pantry items, any specific items you need?



Contact Information