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Diaper Bank - Nonprofit Recipient Partner Application

Diaper Bank

The Junior League of New Orleans Diaper Bank is a 501(c)(3) nonprofit charitable organization that exists to help partner agencies working with families in crisis meet their need for diapers. Diapers are provided at no charge to approved partner agencies. The quantity of diapers available for distribution is dependent upon donations to the Junior League of New Orleans Diaper Bank.

Please tell us more about your organization, the social service(s) you provide and some general information about your average diaper needs (numbers of families you serve with diaper needs, sizes needed, frequency of distribution, etc.):

Organization Name:

Mailing Address:

Website Address:

Director's Name:

Contact (if different):

Contact Phone Number:

Contact Email:

Brief Description of Organization's Mission:

What neighborhoods/parishes do you serve:

Approximately how many families/people in need of diapers do you serve each year?

What size diapers do you typically need (infant/toddler)?

How frequently do you distribute diapers?

Diapers are stored & distributed from our storage facility in Elmwood. Will your agency be able to pick up diapers from this location?

What days of the week are you available for pick up? (Push ctrl to select multiple days)

What we ask of our partners:

1) All diapers provided by the Junior League of New Orleans Diaper Bank are to be distributed directly to your clients without charge.

2) Acknowledgement that the Junior League of New Orleans Diaper Bank may reject or cancel partnership at any time due to lack of resources or any other reason.

3) Basic demographics are recorded on your part so that the Diaper Bank may gather, upon request, information about how many individuals and/or families were served by the diapers we provided.

Please read and acknowledge:

The Junior League of New Orleans Diaper Bank items may not be sold, bartered or exchanged. Items received from the Diaper Bank may not be taken by volunteers, officers, clergy or employees for personal use. As outlined in the Internal Revenue Code Section 170(e)(3), all items you receive from The Junior League of New Orleans Diaper Bank must be used solely for the care of the ill, needy or minors, pursuant to your organization's charitable purpose

I have read & acknowledge the above statement

May we place your name on our website?

How did you hear about us?

By typing my name in the box below, I certify I am the Director of the organization named in this form and that the information provided her to Junior League of New Orleans is correct.

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