Second Helpings, Inc.

Community Partner Renewal Agreement

Community partners receive meals prepared in Second Helpings’ commercial kitchen. We realize many of your clients may have special dietary needs or prefer certain foods. While we do our best to accommodate community partner requests, we rely on the generosity of our food donors and do not shop or order food for our hunger relief program. We cannot predict the exact food items we will receive each day, and we cannot guarantee a specific meal request. Please answer the following questions as specifically as possible.

Community Partner Information

Mailing Address(Required)
Delivery Address(Required)
Is your organization willing to participate in a Second Helpings newsletter or marketing project?(Required)

Community Partner Agreement

Community Partner Demographics Report

Because Second Helpings receives funding from foundations and the United Way, we need to track the following information about those we serve. We realize that you may not have perfect records on clients served but ask that we are given as much of the following information as possible. Thank you for your help. If you have any questions, please call us at 317-632-2664, ext. 127.

Please list the number of people you serve by gender

The total # of people listed in each field should total up to your total # of unduplicated persons served during a 12-month period. Please list a "0" in fields that have no quantity or where no quantity is known.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Gender not aligned with the sex assigned at birth)
Please enter a number less than or equal to 9999.
Gender not aligned with the sex assigned at birth
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.

Please list the number of people you serve by age

The total # of people listed in each field should total up to your total # of unduplicated persons served during a 12-month period. Please list a "0" in fields that have no quantity or where no quantity is known.
Please enter a number from 0 to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.

Please list the number of people you serve by ethnicity

The total # of people listed in each field should total up to your total # of unduplicated persons served during a 12-month period. Please list a "0" in fields that have no quantity or where no quantity is known.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.

Please list the number of people you serve by county of residence

The total # of people listed in each field should total up to your total # of unduplicated persons served during a 12-month period. Please list a "0" in fields that have no quantity or where no quantity is known.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.

Please list the number of people you serve by race

The total # of people listed in each field should total up to your total # of unduplicated persons served during a 12-month period. Please list a "0" in fields that have no quantity or where no quantity is known.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.
Please enter a number less than or equal to 9999.