|

| |

Agency Monthly Statistics Form

 
If you would like to print a copy for your records, please to go to
File ->Print
and print BEFORE you click the submit button.
You are unable to print this document after
you have submitted the information.
Account Number:
Month:
   
Food Pantries ND MN
Adults (18-59)
Children (0-17)
Seniors (60 & up)
Households
Pounds
Unique Visits  
     
On-Site Meal Providers  
Total Meals Served
Total Snacks Served
Individuals Served  
Children (0-17)
Adults (18-59)
Seniors (60 and over)

Hunger Free Gardens
Total Pounds Received

   


You are required to turn in monthly statistics even if you don't
serve anyone. Just mark your categories as 0.

If you are providing stats for more than 1 agency you must submit them separately with the correct account numbers.

Food Pantries: Any agency that distributes food boxes to clients to take home.

Include unduplicated numbers. (If John Doe visits your pantry 3 times during the month only count him as 1 individual/household, but include his total monthly poundage.)

If you do not serve any MN clients, leave blank.

On-Site Meal Provider: Any agency that serves meals and/or snacks at their site.

Include total number of snacks/meals served for the entire month.

Include unduplicated number of individuals (if John Doe eats at your facility every day, only count hims as 1 individual but include his total number of meals/snacks.


Any questions? Call us at 701-232-6219 or email agencystatistics@lssnd.org

 

Donate Now

 

Sign up for our
Email Newsletter
 

 

 

 


LSSNDFeeding America
Our Affiliations
   

1720 3rd Ave N. | Fargo, ND 58102 | 701.232.6219
Contact Us

© 2010, Lutheran Social Services of North Dakota. All Rights Reserved
Site Design by: Krueger Digital
Great Plains Food Bank - Home Page