Senior Feeding Programs Inquiry

Thank you for your interest in our Senior Feeding Programs! Before you fill out the form, please take a moment to review the requirements for partnering with us:

Your program must have an individual willing to act as a site coordinator.
Your site must have adequate storage space for food.
Your site must complete mandatory training provided by Golden Harvest Food Bank.

"*" indicates required fields

Site/Organization Name*

County*

Site/Organization Address*

Street Address City State ZIP Code

Contact Name/Title*

Contact Phone*

Contact Email*

What program(s) are you inquiring about?*

How many seniors are you looking to serve?*

Does your organization hold a 501(c)(3)?*

Can your site/organization financially support the number of seniors in need of being served?*

Will your site/organization be able to pick up the program food from Golden Harvest's Augusta or Aiken warehouse?*

If unable to pick up, please provide a delivery address if different from the address listed above:

Street Address City State ZIP Code

Will your site/organization be able to store food at your location?*

Can your food storage area be locked and secured?*

How many freezers do you have at your site/organization?*

How many refrigerators do you have at your site/organization?*

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