Survey - 21.22 Food Drive Registration Form Outside Davidson County - Second Harvest Food Bank of Middle Tennessee

Thank you for your support of Second Harvest Food Bank of Middle Tennessee through your Food Drive! We are thrilled to have you as a partner in the fight against hunger.

Please complete this registration form to notify Second Harvest Food Bank of Middle Tennessee that you are hosting a Food Drive in your community. By completing this form, we will be able to match you with one of our Partner Agencies in your community to ensure that the food you raise stays in your county to help your neighbors in need. You can also always drop off your food donations at any time at your local Kroger store in the Second Harvest designated food donation barrels in the front of the store.

*1.

Question - Required - Organization

2.

Contact Information

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	ZIP Required

*

Phone Number: Required

If you respond and have not already registered, you will receive periodic updates and communications from Second Harvest Food Bank of Middle Tennessee.

3.

Question - Not Required - County

*4.

Question - Required - Food Drive Start Date

Month

Day

Year

*5.

Question - Required - Food Drive End Date

Month

Day

Year

*6.

Question - Required - Is your food drive in conjunction with a event?

7.

Question - Not Required - Please describe event and include food collection activities. For example: Students donate food while they move out of their dorms for the year; Employees donate to participate in a casual Friday; Coworkers compete with each other to donate the most food items during a week-long collection; Reduced admission in exchange for 5 cans of food;

*8.

Question - Required - How many pounds/ items do you project to collect?

*9.

Question - Required - Which delivery option do you prefer?

Local Partner Agency

*10.

Question - Required - How were you directed to this form?

Friend, Family Member, Co-Worker, Second Harvest Employee, etc.

Social Media (Facebook, Twitter, etc.)

E-mail Newsletter

Blog

Mailing

Second Harvest Website

Other

11.

Question - Not Required - Enter the code to verify you are not a robot

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