Outreach Request Form

Outreach Request Form

If you would like to have us table at your event or speak to your organization/business, please complete our Outreach Request Form. Requests are reviewed monthly. Events are accepted on a first-come, first-served basis. Please submit your request at least four weeks before your event to allow for planning and staffing.
Contact Person Information
Contact Person Name:*

First NameLast Name
Company or Organization:
Is the above organization / company hosting the event?

YESNO
Email:*
Phone Number:
Please enter a valid phone number.
Extension
Event Information
What is the nature of this event?*

Food drive or event to benefit the Food BankCommunity EventRecurring Event (monthly/weekly)Speaker RequestOther

What is the name of the event?*
If not a formal name give brief description (e.g. Health Fair)
When is the event?*

MonthDayYear
If exact date is yet to be determined, select the first day of the month in which it will be held.
Is this a flexible date for our participation?

The exact event date is yet to be determined.The group meets continually so CCFB participation can be discussed.This is a firm event date.Other
Please elaborate if you selected 'other' above or would like to include date details:
one day after event (admin purposes)

MonthDayYear
Date
What time is the event? (please include full event time)
Event Location Address*
Street Address & Town
How many people are expected to attend the event?*
An approximate estimation is acceptable.
Please provide a brief description of the event and intended audience:
What would you like the Chester County Food Bank to provide at this event? (You may choose more than one option and we will do our best to accommodate.)*

Tabling with Resources and InformationFoodEducational ActivitySpeak to GroupOther
If you selected other, please explain what you have in mind:
Who is your contact at Chester County Food Bank? (If no one, leave blank. If you have more than one, include the person you've most recently been in touch with.)

Donated food is vital to helping us provide food to neighbors struggling with food insecurity.

If you are looking to host a food drive or fundraiser to benefit the Chester County Food Bank, please visit our DONATE FOOD page or call 610-873-6000 option 5.
Should be Empty:

Contact Person Information