Child Hunger Impact

What month are you reporting?*

Partner Organization Name*

Partner Organization Email*

Report Submitted by*

First Name Last Name

Numbers Impacted

How many people have been impacted by your services this month?*

Example calculation: An individual comes to your food distribution every Tuesday. If there are four Tuesdays in the month, this would count as one (1) person.

Stories

Share your story with us! By sharing your story, you can compel others to make the same impact on their community. Thank you for joining us as we serve vulnerable children and struggling families in the community!

Photos

Do you have photos that you would like to share with us?*

Yes
No

Upload Pictures or Files

Max. file size: 32 MB.

Acknowledgement

By selecting the box below, I agree to the following statements:*

The above facts are true to the best of my knowledge. I understand that the agreement between OMC and the Partner Organization could be terminated, and the Partner Organization is responsible for any resulting damages suffered by OMC, should these facts be inaccurate or misleading. OMC shall be permitted to use without restriction all information provided by the Partner Organization, including the numbers impacted, stories and photos on the “Child Hunger Impact” form. The Partner Organization agrees that all pictures, names, and other information provided above is given with the permission of the relevant individuals, each of whom have agreed to the use of their name and likeness by Partner Organization and OMC. In any event, OMC may change the names of individuals and organizations when using such information to protect individual privacy.

Numbers Impacted

Stories

Photos

Acknowledgement

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