Redistribution Community Partner Interest Form The River is allowed to formalize redistribution community partnerships with local organizations in need of support. Our partners receive regular donations of excess food and resources from The River to reach those who do not access our pantry’s services for various reasons. Please fill out this form if you would like to become a redistribution community partner of The River. We will follow up once your information has been reviewed. Please allow up to 5 business days.Contact InfoName(Required) First Last Organization/Agency:(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website Phone(Required)Email(Required) Your WorkPlease provide information to help us understand more about your organization's work and the people you serve.Tell us about your organization's needs and why you'd like to work with The River.(Required)Do you currently have a staff member or regular volunteer who is ServSafe certified?(Required)It is a requirement of all redistribution partners that someone who handles food on site has the knowledge to ensure proper food safety. This is achieved through the ServSafe Food Handler Certification Program. If your answer is "No" or "Unsure," we will offer the certification program at no charge. Yes No Unsure What age groups do you serve? Infants/Toddlers (0–3) Children (4–17) Adults (18–59) Seniors (60+) Select AllWhat type(s) of products do you hope to receive? Groceries (produce, shelf-stable items, bread, etc.) Snack foods (chips, desserts, granola bars, etc.) Ingredients for meals cooked and served at my organization Prepared foods (sandwiches, microwavable meals, etc.) Hygiene products (shampoo, soap, hand sanitizer, oral care, etc.) Clothing, housewares, blankets, etc. Select AllHow frequently do you hope to receive the above products from The River?Twice per weekOnce per weekEvery other weekMonthlyAs needed (none of the above)Does your organization have the capacity to pick up food and resources from The River?(Required)Due to limitations on vehicle and staff availability, it is preferred that partners pick up from The River whenever possible. Yes, we have a staff vehicle or can use a staff/volunteer vehicle to pick up from The River No, we do not have the means to get to The River Unsure Please share a few week days and times that work for a delivery at your organization. Add RemovePlease share a few weekdays and times that work for a regular pick-up at The River. Add RemoveThank you!Please press "submit" before leaving this page. The River's Community Coordinator Bethany Michiels will reach out to you after reviewing your responses. If you have any urgent needs or questions before then, please add those to the space below or reach out to Bethany at bethany@riverfoodpantry.org or 608-665-0232.Please use this space to include any questions or other information you'd like to share with The River about becoming a Redistribution Community Partner. Δ