Application to Simply the Basics Hygiene Bank Association™

Contact Name *

First Name

Last Name

Organization Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Which of the following are you most interested in utilizing? *

Select all that apply

Education and resources to strengthen our organization operations and impact

Learning from experts in their field

Having shared data to further hygiene access advocacy and impact

Increasing reach and visibility of our organization to support our community

Connecting with other hygiene banks & nonprofits

Grants & money saving opportunities on supplies

Select all of the methods of distribution *

Hygiene Kits/packages to external sites

Items in bulk to external sites

Hygiene Kits directly to clients

Items in bulk directly to clients

None of the above

Other

Who are your main clients/Recipients? *

All

Neighbors experiencing homelessness

Families w/ children

Women & Female Indentifying

Men & Male Indentifying

Immigrants / Refugees

LGBTQ+ Community

Veterans

Youth

Select all that are true *

Organization has a system for ensuring quality of products, including never distributing products that are used or expired.

Organization has a system that ensures a variety of product type to meet unique health needs.

Our programs do not include prayer or religious practice required to receive services

We have a system where people in need of supplies can choose what they most need

Organization has more than 1 person that is involved in the operations

Organization has a process for financial oversight (tracking donations, expenses, etc)

Please confirm that all of the above is true and accurate to the best of your knowledge. *

Confirmed