Join the Network (NHC)


	Organization contact info
Organization name
Address

City	State Zip code
Phone	Ext.
Website (optional)
Contact's first name	M.I. Last name
Contact's Title
Phone	Ext.
Email

	Do you want this to be the main email contact?
	Yes No
	Would you like to receive our monthly newsletter, the Clearinghouse Connection?
	Yes No
	Counties served (optional)	Hours of service (optional)

	Year founded (optional)	Number of full-time staff (optional)	Number of part-time staff (optional)

	Number of volunteers (optional)	National or regional affiliation (optional)

	Annual budget
	$0 - $49,999 $50,000 - $99,999 $100,000 - $499,999 $500,000 - $999,999 $1,000,000

About WhyHunger Contact

The National Hunger Hotline
1.833.3hunger

Please select all that apply	How would you classify your organization?
	Advocacy	Education Institution	Labor
	Coalition	Emergency Food Provider	Religious
	Social Service Provider	Funder	Government
	Summer Feeding Site



Please select all that apply	What is your organization's target population?
	Families	Immigrants	Youth
	Homeless	Senior Citizens	Unemployed
	Other



Please select all that apply	Where does your organization provide services?
	Business	Extension Service	Religious Institution
	Child Care Center	Farm	School
	College University	Health Care Facility	Senior Citizen Center
	Community Center	Home/Residence	Shelter
	Correctional Facility	Organizational Offices	Soup Kitchen/Food Pantry
	Detention Center	Public Housing



Please select all that apply	What area does you organization serve?
	County	Neighborhood	State
	International	Regional	Suburban / Peri-urban
	National	Rural	Urban

	Agency Services

Please select all that apply	Children Services
	After school	Day care/Childcare	Foster Care/Adoption
	Other




Please select all that apply	Counseling
	Case Management	Drug and Alcohol	Referral Services
	Crisis Hotline	Family Support	Sexual Assault
	Other	Domestic Violence	Individual




Please select all that apply	Education
	ESL	Head Start	Nutrition Education
	Other	Prison Re-entry Program




Please select all that apply	Food Assistance
	Community Support Agriculture	Farmers' Markets	Farmers' Markets EBT
	Food Bank	Food Delivery	Food Pantry
	Kids Cafe	Meals on Wheels	Soup Kitchens
	Other


Please select all that apply	Government Programs
	Child & Adult Care Food Program	CSFP	Earned Income Tax Credit
	FEMA/Disaster Relief	SNAP/Food Stamp Program	Home Energy Assistance
	Senior Farmer's Market Nutrition	Summer Feeding Program	TEFAP
	TANF	WIC	WIC/FMNP
	SFMNP	Children's Healthcare	Medicaid
	Other


Please select all that apply	Health Care
	Other	Health Clinic	Prescription Assistance


Please select all that apply	Homeless Services
	Emergency Shelter	Drop In Center	Halfway House
	Other	Transitional Housing	Voice Mail


Please select all that apply	Housing
	Appliances / Furniture	Home Repairs	Rent Subsidy
	Other	Utilities Assistance	Weatherization


Please select all that apply	Jobs
	Career Counseling	Job Placement	Job Readiness
	Other	Job Training


Please select all that apply	Other Services
	Clothes	Hunger Hotline	Thrift Shop




	Do you do advocacy work?
	If so, please indicate what kind

	Do you provide transportation services?
	Yes No
	Do you accept food donations?
	Yes No
	Do you provide seasonal services? (i.e. Christmas baskets)
	Yes No



	Mission statement




	Please write a description of your organization's background




	Please write a description of your organization's programs

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Are you an emergency food provider?

Organization contact info

Do you want this to be the main email contact?

Would you like to receive our monthly newsletter, the Clearinghouse Connection?

Counties served (optional)

Hours of service (optional)

Year founded (optional)

Number of full-time staff (optional)

Number of part-time staff (optional)

Number of volunteers (optional)

National or regional affiliation (optional)

Annual budget

How would you classify your organization?

What is your organization's target population?

Where does your organization provide services?

What area does you organization serve?

Agency Services

Children Services

Counseling

Education

Food Assistance

Government Programs

Health Care

Homeless Services

Housing

Jobs

Other Services

Do you do advocacy work?

Mission statement

Please write a description of your organization's background

Please write a description of your organization's programs