Temporary Diaper Need Hub Interest Form

Thank you for your interest in becoming a Temporary Diaper Need Hub!

In response to the recent COVID-19 outbreak, Greater DC Diaper Bank has partnered with several other basic need provider organizations around the DC metro region to ensure all families have what they need during this tough time. We’ve created Temporary Diaper Need Hubs, a place where families can get food and diapers at one location.

Please complete the form below and someone will be in contact with your shortly. Incomplete forms will not be responded to so please complete every question.

Please direct any questions to info@greaterdcdiaperbank.org. Thank you!

First Name

Last Name

Email

Phone

Organization

Organization Street:

Organization City:

Organization State/Province:

Company Zip/Postal Code:

Does/will this location provide food?:

Does/will this location serve the public (families outside your regular programs)?:

Does this location have the capacity to securely store 40,000 diapers (~six pallets)?:

Does this location have a loading dock or easy loading area?:

How many people do you anticipate serving each week?:

Will this location be walk-in accessible or by appointment?:

What are you regular hours of operation?:

What do you anticipate will be your diaper distribution hours each week?:

Are you an all volunteer organization?:

Do you have staff or volunteer capacity to distribute diapers and track and report the necessary data for each family? (Proof of birth, zip code, number of babies, number of diapers per size):