The following is an online version of our Partnership Application Form.
read it over and if you would like to join our team, fill the form out and press the "Submit" button
found at the end of the form. Also, fill in the "Submitter's Name" and
"Submitter's Email Address". A verification email will be sent to you to
verify that you did submit the form.
Sample Web Form
Charitable Services Greater Hampton Roads 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 Greater
Hampton Roads Diaper Bank. This is a leap of faith for us and we will continue
it as long as we are able to sustain the program. We are continuing to look
for local sponsors for financial support
Greater Hampton Roads
Diaper Bank reserves the right to decline an application based on a variety of
During the application
process a site visit and/or agency review may be requested.
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.):
Prior to depressing the "Submit"
key you can print a copy of the completed Form by