Agency Prospect

Agency Information

Welcome to The Greater Boston Food Bank membership application form!

Thank you for your interest in becoming a member of our network of food providers. To become a member, all applicants must be IRS approved 501c3 public charities and serve the ill or needy. Applications are reviewed as they are received based on meeting basic membership requirements as well as a community assessment that incorporates the level of need and resources already available within a given community.

Member agencies should not rely on GBFB to be their sole source of food for their program and should plan to procure food from other sources, in addition to what they order from GBFB.

If you have any questions about becoming a member, please reach out to the Community Initiatives Team at capacity@GBFB.org

Program Contact Information

Agency Name

First Name

Last Name

Title

Contact email address

Program Contact Phone

Program Contact Mobile Phone

Is the Executive Director different than Program Contact?

Yes

Executive Director (ED) Contact Information

ED First Name

ED Last Name

ED Title

ED email address

ED Contact Phone

ED Mobile Phone

Address Information

Billing Street

Billing City

Billing State

Billing Zip Code

Billing Phone Number

Program Street

Program City

Program State

Program Zip Code

Program County

Program Phone Number

Supporting Documentation

Is Program a 501c3 Nonprofit?

YesIf you select YES, you will be required to upload a copy of your 501c3 documentation.

Enter your 501c3 Document #

Enter your 501c3 document number. 20 Characters Max. Leave blank if none.

Upload your IRS 501c3 Document

Attach a scanned copy of your IRS 501c3 document if available.

Do you have a Board of Health Permit?

YesIf you select YES, you will be required to upload a copy of your 501c3 documentation.

Upload your Board of Health Document

Attach a scanned copy of your Board of Health document if available.

Agency Prospect

Agency Information

Program Site Information