Diaper Bank Partner Application
Agency Name:
Agency Address:
Agency Phone:
Contact Person Name(s):
Contact Person Email(s):
Contact Person Phone(s):
Diaper Bank Needs
Newborn
Size 1
Size 2
Size 3
Size 4
Size 5
Size 6
Size 2T/3T
Size 3T/4T
Size 4T/5T
Size 5T/6T
Estimated number of donations made in a month?
Drop-Off Frequency
Once a Month
Every 2 Months
Only as Requested
How does the agency plan to distribute diapers to the community?
How will the community ultimately benefit from the agency distribution?
Are there any stipulations that diaper recipients meet certain qualifications in order to receive diapers? If yes, please describe in detail.
How will the agency recognize the Junior League of Mobile's partnership?
Note: Completion of application does not guarantee partnership.
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