Service Insights Application
Complete and submit the form below to apply for implementation of Service Insights at your program.
Program Name
*
Foodlink Member ID
*
e.g. ABC123
Program Contact Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Program Information
Tell us about your program and current client intake process
What type of program are you operating?
*
Food Pantry
Meal Program
School Food Pantry
Pop Up Pantry (PUP)
Other
Are you currently distributing USDA food as part of TEFAP at your program?
*
Yes
No
Does your program provide other products and services to clients beyond distribution of food items?
*
Yes
No
What other products and services does your program provide to clients?
*
Do you want to track these additional products and services provided to clients using Service Insights?
*
Yes
No
Not sure yet
What is the average number of individuals served per month at your program?
*
Enter number only
What is your current method for collecting and storing client information at your program?
*
Paper sign-in sheet
Paper intake form
Electronic method (e.g. spreadsheet, database, etc.)
Client intake software (specifically designed for client intake process)
Other
Do you have access to a computer or tablet where the client intake process occurs?
*
Yes
No
Does your program have access to reliable internet service?
*
Yes
No
Do you have dedicated staff and/or volunteers trained to conduct the client intake process at your program?
*
Yes
No
Why do you want to implement Service Insights at your program? What do you see as the biggest benefits for your program and the clients you serve?
List any questions or concerns you have about implementing Service Insights at your program.
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