Community Food Member Application "*" indicates required fields Organisation InfoOrganisation name: Charity number / Legal Status: Website: Primary Contact Name First Last Delivery address: Address Line 1 Address Line 2 City County Post Code Food order contact Food order contactFood order contactFood order contact Food order contact Secondary contact Secondary contactSecondary contactSecondary contact Secondary contact Financial contact Financial contactFinancial contactFinancial contact Financial contact Services InformationMain Client Group*Please select oneFamilies and/or people on low or no incomePre-school childrenOlder peoplePeople with life limiting conditionsAsylum seekers and refugeesN.E.E.T.SB.M.EHomeless people and rough sleepersSchoolchildrenPeople with drug or alcohol addictionPeople with physical health problemsPeople with mental health problemsPeople affected by domestic violenceEx-offendersEx-service personalL.G.B.TPeople who are long-term unemployedYoung people/In care-care leaversPeople who are socially excludedLone parentsOtherOther: Secondary Client GroupPlease select oneFamilies and/or people on low or no incomePre-school childrenOlder peoplePeople with life limiting conditionsAsylum seekers and refugeesN.E.E.T.SB.M.EHomeless people and rough sleepersSchoolchildrenPeople with drug or alcohol addictionPeople with physical health problemsPeople with mental health problemsPeople affected by domestic violenceEx-offendersEx-service personalL.G.B.TPeople who are long-term unemployedYoung people/In care-care leaversPeople who are socially excludedLone parentsOtherOther: Tertiary Client GroupPlease select oneFamilies and/or people on low or no incomePre-school childrenOlder peoplePeople with life limiting conditionsAsylum seekers and refugeesN.E.E.T.SB.M.EHomeless people and rough sleepersSchoolchildrenPeople with drug or alcohol addictionPeople with physical health problemsPeople with mental health problemsPeople affected by domestic violenceEx-offendersEx-service personalL.G.B.TPeople who are long-term unemployedYoung people/In care-care leaversPeople who are socially excludedLone parentsOtherOther: Your ActivityPrimary Activity*Please select oneChildren & Families CentrePlace of WorshipCommunity CentreCommunity CafeDay CentreDrop-in ServiceFood bankHostelHospice / Care HomeOut of School / Youth CentreSchool / Breakfast Club / After School ClubHoliday hungerSoup KitchenSupported HousingLuncheon ClubTraining CentreResidential Rehabilitation ServiceMedical FacilityAddiction SupportAdvice / Resource CentreRefugee CentrePrisonOtherOther: Secondary ActivityPlease select oneChildren & Families CentrePlace of WorshipCommunity CentreCommunity CafeDay CentreDrop-in ServiceFood bankHostelHospice / Care HomeOut of School / Youth CentreSchool / Breakfast Club / After School ClubHoliday hungerSoup KitchenSupported HousingLuncheon ClubTraining CentreResidential Rehabilitation ServiceMedical FacilityAddiction SupportAdvice / Resource CentreRefugee CentrePrisonOtherOther: Tertiary ActivityPlease select oneChildren & Families CentrePlace of WorshipCommunity CentreCommunity CafeDay CentreDrop-in ServiceFood bankHostelHospice / Care HomeOut of School / Youth CentreSchool / Breakfast Club / After School ClubHoliday hungerSoup KitchenSupported HousingLuncheon ClubTraining CentreResidential Rehabilitation ServiceMedical FacilityAddiction SupportAdvice / Resource CentreRefugee CentrePrisonOtherOther: Service DetailsPrimary Service*Please select oneSocial / BefriendingRecreational / LeisureReferral / SignpostingBenefits / Financial AdviceTrainingDrug and Alcohol AdviceHousing AdviceComplementary HealthMedicalSocial Work ServicesLife Skills TrainingChild CareAccommodationEmployment SupportMental Health SupportEducationFood ParcelsBreakfastsMealsOtherOther: Secondary ServicePlease select oneSocial / BefriendingRecreational / LeisureReferral / SignpostingBenefits / Financial AdviceTrainingDrug and Alcohol AdviceHousing AdviceComplementary HealthMedicalSocial Work ServicesLife Skills TrainingChild CareAccommodationEmployment SupportMental Health SupportEducationFood ParcelsBreakfastsMealsOtherOther: Tertiary ServicePlease select oneSocial / BefriendingRecreational / LeisureReferral / SignpostingBenefits / Financial AdviceTrainingDrug and Alcohol AdviceHousing AdviceComplementary HealthMedicalSocial Work ServicesLife Skills TrainingChild CareAccommodationEmployment SupportMental Health SupportEducationFood ParcelsBreakfastsMealsOtherOther: Service ProfileBeneficiaries*Please enter the total number of visitors/beneficiaries you have a week (0+)Please enter a number greater than or equal to 1.MealsAverage number of Lunch /Dinner per week (0+)Please enter a number greater than or equal to 1.Food ParcelsAverage Food parcels given per week (0+)Please enter a number greater than or equal to 1.SnacksAverage Snacks served per weekPlease enter a number greater than or equal to 1.BreakfastsAverage Breakfasts served per weekPlease enter a number greater than or equal to 1.How is the project funded? What is the amount spent on food each month?Already collect from the supermarket via the ‘FareShare Go’ scheme (formerly FoodCloud)? Yes No Unsure Beneficiary group detailsPlease enter the Percentage (%) that appliesMalePlease enter a number from 0 to 100.FemalePlease enter a number from 0 to 100.Non of the abovePlease enter a number from 0 to 100.Prefer not to sayPlease enter a number from 0 to 100.Children (age 11-15)Please enter a number from 0 to 100.Young adults (age 16-25)Please enter a number from 0 to 100.Adults (age 26-64)Please enter a number from 0 to 100.Elderly (age over 65)Please enter a number from 0 to 100.Prefer not to sayPlease enter a number from 0 to 100.AsianPlease enter a number from 0 to 100.BlackPlease enter a number from 0 to 100.WhitePlease enter a number from 0 to 100.Mixed EthnicityPlease enter a number from 0 to 100.OtherPlease enter a number from 0 to 100.Prefer not to sayPlease enter a number from 0 to 100.Please select the types of communications you would like to receive / media activities you would be willing to undertake, (“FareShare” relates to either the local depot or the national organisation) Receive the local FareShare newsletter. Receive the national FareShare newsletter. Collaborate with FareShare to create a case study. Allow FareShare to publicly disclose service (say we work together). Allow FareShare to disclose non-contact data to 3rd parties (report on what food we provide). Allow FareShare to disclose contact data to 3rd parties (pass on your contact details). Collaborate with FareShare on Media Projects generally (specific projects would be agreed). Allow 3rd party media organisations to contact you by email. 3rd party media organisations are welcome to visit your site (with prior arrangement). Grant permission to film at your site (with prior arrangement). Grant permission to take photographs at your site (with prior arrangement). Select All
Over 3 million tonnes of the food that goes to waste each year is still edible That’s enough for seven billion meals Find out more about what we do