Justice Necessary FYP Hygiene Pantry Seal Application

Thank you for your interest in the Justice Necessary FYP Hygiene Seal. Please allow 1-2 weeks to process your application.

If you are a K-12 school, college, or university food pantry, this form will serve as your application to participate in HygienePalooza.

This form will take an average user around 10 minutes to complete. If you need to save your progress and continue later, click “Save & Continue” at the bottom of this page.

Organization Information

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Do we have your permission to include your organization to the Find Your Pantry™ database?(Required)

Yes

Organization Name(Required)

Primary Contact Name(Required)

First Last

Primary Contact Title(Required)

Primary Contact Email(Required)

Primary Contact Phone(Required)

Organization Street Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Organization Website(Required)

Organization Instagram

Organization Facebook

Organization Twitter

What is your organization's phone number?(Required)

Please upload your high-resolution .jpeg or .png logo here(Required)

Accepted file types: jpg, png, Max. file size: 10 MB.

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Are there other locations where you serve clients and/or do you have a different mailing address?(Required)

Yes

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Address Type

Additional Service Location

Mailing Address

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Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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Are there other locations where you serve clients and/or do you have a different mailing address?

Yes

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Address Type

Additional Service Location

Mailing Address

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Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Pantry Type

Pantry Type(Required)

Check all that apply.

Community pantry

Mobile pantry

School/University pantry

Pantry Readiness

Do you currently have hygiene products available?(Required)

Yes

What is your distribution model?(Required)

Check all that apply.

On-site

Partner agency

Mobile

Other, please explain

Other distribution model(Required)

Do you provide education and/or resources for staff and volunteers on hygiene dignity and access?(Required)

Yes

Commitment to Ongoing Service

Do you plan to distribute hygiene products long term?(Required)

Yes

Other

How will you work to ensure a steady supply of hygiene products? What support do you need to ensure products are available?

Check all that apply.

Funding

Volunteers

Storage

Other - please specify

Other support needed(Required)

Data Collection

Do you currently collect program data?(Required)

Yes

Which system(s) do you use?(Required)

Link2Feed

Vivery

PantryTrak

Salesforce

Spreadsheet

Other - please specify

Other data system(s) used(Required)

What impact data do you track?(Required)

Check all that apply.

Households served

Products distributed

Number of volunteers

Number of partner organizations

Other, please specify

Other data tracked(Required)

Are you willing to share de-identified/aggregate impact data with Justice Necessary?(Required)

Yes

Data Contact Name(Required)

First Last

Data Contact Title(Required)

Data Contact Email(Required)

Core Products

What products do you offer?(Required)

Check all that apply

Period products (multiple sizes/types)

Infant/toddler care (diapers, wipes, rash cream)

Basic personal hygiene products (soap, shampoo, deodorant, toothpaste, toothbrushes)

Household hygiene products (laundry detergent, dish soap, multi-purpose cleaner)

Provide refillable spray bottle or cleaning tool

Dignity & Access

How do you provide hygiene products?(Required)

Check all that apply

Distribute products free of charge and without barriers

Provide reasonable quantities (not single use only)

Ensure ADA accessibility and discreet parking

Post regular hours and ensure community members know how to access products provided

Pantry Operations

Check all that apply relating to pantry operations(Required)

Do you maintain product quality and safety

Do you provide staff training for stigma free service

Justice Necessary FYP Hygiene Seal Standards & Goals

Organizations who apply for the Justice Necessary FYP Hygiene Seal commit to adhere to the following standards:

Consistent and Accessible Distribution
Responsible Storage and Inventory Practices
Collaboration and Information Sharing
- Keep location, hours, and contact information accurate and public
- Designate an organization point of contact
- Participate in bi-annual Justice Necessary surveys
Commitment to Growth and Sustainability
- Maintains inventory to ensure ongoing access to basic hygiene items
- Share periodic updates on distribution and community needs

The Justice Necessary FYP Hygiene Seal term is 12 months from the date of approval and is renewable upon completion of the bi-annual surveys and continued adherence to the standards and goals.

Organizations who receive the Justice Necessary Seal will receive the following:

Recognition/Announcement on Justice Necessary social media and communications
Hygiene Pantry Starter Kit (a variety of hygiene products).
Hygiene Pantry technical assistance and resources
Organizations will be listed on the Justice Necessary Find Your Pantry website

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What days and times is your organization open for service?(Required)

Please check all that are applicable on a regular basis.

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Does your organization have ADA/accessibility accommodations?(Required)

If so, please select all that apply. If there are none or unknown, please select accordingly.

Handicap Parking

Clear Path of Travel

Ramps/Curb Ramps

Elevator

Accessible Restrooms

TYY/TDD

Automatic Translator

None

Unknown

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Who does your organization serve?(Required)

Select all of the options that most accurately apply to the clients you serve.

All Community Members/Anyone

Only within the County

Infants/Toddlers, under 6 years old

K - 12 Schools, Students Only

Higher Education/University

Other

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What languages does your organization speak and/or use for written materials for your clients?(Required)

Select all that apply.

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Are you accepting new clients?(Required)

Yes

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Are clients required to register with your organization before they can receive services?(Required)

Yes

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Does your organization offer food?(Required)

Yes

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Does your organization offer period products?(Required)

Yes

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What period products do you offer?(Required)

If what you offer is based on availability, please select "Offered on 'as available' basis"

Menstrual Cups

Pads

Pantyliners

Period Underwear

Reusable/Washable Pads

Tampons

Offered on ""as available"" basis

Other

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Does your organization offer baby, diaper care, adult diapers and/or incontinence supplies?(Required)

Yes

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What baby, diaper care, adult diapers, and/or incontinence supplies do you offer?(Required)

If what you offer is based on availability, please select "Offered on 'as available' basis"

Adult Diapers/Incontinence Supplies

Adult Wipes

Baby Formula

Baby Powder

Baby Wipes

Diapers (non-adult, for babies/toddlers)

Diaper Ointment

Offered on ""as available"" basis"

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Does your organization offer hygiene products?(Required)

Yes

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What hygiene products do you offer?(Required)

If what you offer is based on availability, please select "Offered on 'as available' basis"

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Does your organization offer household/cleaning products?(Required)

Yes

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What household/cleaning products do you offer?(Required)

If what you offer is based on availability, please select "Offered on 'as available' basis"

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Do your organization accept product donations?(Required)

Yes

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Product Donations

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Does your organization take donations of food?(Required)

Yes

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What types of food donations do you accept?(Required)

Perishable Food

Non-perishable Food

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Does your organization take donations of household/cleaning products?(Required)

Yes

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What types of household/cleaning products do you accept?(Required)

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Does your organization accept donations of hygiene products?(Required)

Yes

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What type of hygiene product donations do you accept?(Required)

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Does your organization take donations of baby, diaper care, adult diapers and/or incontinence supplies?(Required)

Yes

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What type of baby, diaper care, adult diapers, and/or incontinence supply donations do you accept?(Required)

Adult Diapers/Incontinence Supplies

Adult Wipes

Baby Formula

Baby Powder

Baby Wipes

Diapers (non-adult, for babies/toddlers)

Diaper Ointment

Other

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Does your organization take donations of period products?(Required)

Yes

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What types of period product donations do you accept?(Required)

Menstrual Cups

Pads

Pantyliners

Period Underwear

Reusable/Washable Pads

Tampons

Offered on ""as available"" basis

Other

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Does your organization accept donations of products that have been opened/not in their original packaging?(Required)

Yes

No, we only accept items that are unopened/in their original packaging

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Volunteer and Donation Information

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Does your organization accept financial donations?(Required)

Yes

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How should donors set up a donation?(Required)

Please select all that apply.

Phone

Website

In Person

Via Mail

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Contact Name for Potential Donors(Required)

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Contact Phone Number(Required)

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Contact Email Address(Required)

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URL to donate(Required)

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Do you accept volunteers?(Required)

Yes

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How should volunteers sign up to volunteer?(Required)

Please select all that apply.

Phone

Website

In Person

Via Mail

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Contact Name for Potential Volunteers(Required)

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Contact Phone Number(Required)

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Contact Email Address(Required)

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URL to sign up to volunteer(Required)

Signature(Required)

Name(Required)

First Last

Email Address(Required)

Date(Required)

Thank you for your interest in the Justice Necessary FYP Hygiene Seal.

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