Commitment to Community Partner Application

Application Information

Organization Name

Employer Identification Number (EIN)

Proof of insurance

Choose File

Proof of 501(c)3 status

Choose File

Mailing Address

Street

City

State

Zip Code

Organization Telephone

Organization Website

Organization Information

Please provide a description of your organization’s mission.

How does your organization’s mission relate to Brattleboro Food Co-op’s Ends Policies?

How does your organization’s mission relate to Brattleboro Food Co-op’s Cooperative Principles?

Contact Information

First Name

Last Name

Preferred Pronoun

Email Address

Phone Number

Accept text messages?

Yes

BFC Volunteer Workers’ Information

Is the Prime Contact the person who will be the liaison to the Co-op in verifying volunteer hours?

Yes

If you answered no, please provide the the correct point person to expect volunteer verification from.

Is the contact the person whom our volunteers will schedule and record work hours with?

Yes

If you answered no, please provide the the correct point person for our volunteer workers.

How will your organization ensure BFC Shareholder Workers Hours are accurately recorded and reported to Brattleboro Food Co-op each month?

How many volunteers do you currently work with each month?

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What else do we need to know?

I have read, and understand, the outlined policies and procedures required to become a Commitment to Community Partner. If accepted, we agree to abide by these principles, and be diligent in recording and reporting Volunteer Hours to the Co-op.