Victory in Partnership (VIP) Membership Form 2021-22
Thank you for taking the time to complete this VIP Membership Form.  We ask that members complete this once a year so we have your most up-to-date contact information and feedback.  VIP membership is free of charge.  
Sign in to Google to save your progress. Learn more
Email *
Your name: *
Your Pantry/Soup Kitchen Name: *
Phone number where we can reach you: *
Phone number where texts can be sent:
Your email:
Address where mail should be sent so you can reliably receive it:
Is your pantry or soup kitchen currently open?  If so, what are your current days and hours of operation?
Does your program currently have a 501c3 non-profit status letter?
Clear selection
Number of years you and/or your pantry/soup kitchen has been involved with the Coalition Against Hunger:
Your birthdate (month and date fine!)
Please check any of the following VIP meeting topics you would be interested in attending through Zoom (Check as many as you'd like):
If you checked "Other" above or have specific topics for social service resources or wellness programming or specific speakers, please tell us what specific topics you are interested in here:
Please list anything that your pantry or soup kitchen needs help with to continue to feed your community:
What does the Coalition Against Hunger do well to serve you, your food program and/or your program participants?
What can the Coalition Against Hunger do to better serve you, your food program and/or your program participants?
Would you be interested in being paired with another food pantry or soup kitchen leader so you can network with one another? (You can network over the phone, in person, through emails---your choice.)
Clear selection
Would your program be interested in any of the following? (Please check all that apply.)
Anything else you would like to share:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Greater Philadelphia Coalition Against Hunger. Report Abuse