Cooking Matters Satellite Partner Application

Organization Name*

Date*

Address*

Street Address City State ZIP Code

Primary Contact*

First Last

Job Title

Phone*

Fax Number

Email*

Organizational Information

1. How do you classify your organization?*

(i.e Food Bank, School, Church, Community Center, Wellness Center, Housing Development, Food Pantry etc.)

2. Briefly describe your organization’s work and mission. (Include the types of services and programs you offer to your clients)*

3. Does your agency serve low-income individuals?*

Yes
No

Do your clients receive WIC, Food Stamps or other nutrition assistance?*

Yes
No

If yes, what percentage of those served participate in nutrition assistance programs?

3a. How do you determine low-income eligibility?*

4. How would you rate participation levels among eligible clients for community service programs offered by your organization?*

High (100% - 80 %)
Moderate (79% - 50 %)
Low (49% - 20%)

Facility Information

5. Do you plan to host Cooking Matters classes at your own facility?*

Yes
No

5a. Does your organization have access to a working kitchen facility for cooking classes?*

Yes
No

If not, does the facility offer access to a sink, for hand/ dish washing?

Yes
No

5b. Does your organization have:*

A classroom area large enough to accommodate 8–15 people?
Easy accessibility for clients who rely on public transportation?

Cooking Matters Assessment

6. How did you hear about Share Our Strength’s Cooking Matters program?*

7. Have you observed a Cooking Matters class?*

Yes
No

If yes, list Course Names and Locations

Course Name	Location

8. Why are you interested in bringing Cooking Matters courses to your clients and/or community? How does Cooking Matters differ from and/or complement other related programs currently offered in your community?*

9. Which Cooking Matters curricula are you interested in offering in your community?*

10. Please describe your short and long-term goals for a Cooking Matters program.*

External Resource Assessment

Cooking Matters courses are generally held at a host agency site that already reaches Cooking Matters’ target population and has the ability to recruit appropriate course participants. Courses are taught by volunteer chef instructors, nutritionists and financial planners.

11. Please list any local agencies/organizations in your area, besides your own, that could serve as host sites for Cooking Matters courses.

Agency/Organization	Relationship

Note any existing relationships with these organizations.

12. Please list any other existing relationships/arrangements that could help support your class implementation.

Agency/Organization	Relationship

(e.g., relationships that could result in in-kind donations of food or other class materials, volunteers, etc).

13. Do you have the ability to recruit, train and support culinary and nutrition volunteers who will teach Cooking Matters courses? What methods will you use to recruit them?*

14. Do you have a clear understanding of the roles and responsibilities expected of a Cooking Matters Satellite Partner? Please comment on your organization’s ability to fulfill those roles.*

15. Is there a dedicated staff person who will coordinate your Cooking Matters courses?*

Yes
No

15 b. If so, please describe the potential coordinator’s qualifications? What percent of their time would be dedicated to Cooking Matters? Would their time require special funding? If so, where will the funding come from? If not, do you have the funds (and management support) to hire staff to fill this role?

16. Do you have executive level/management support to run a Cooking Matters program?*

Yes
No

16b. If so, please submit a signed letter of support from your organization’s leadership with this application (please include current contact information).

Upload a Word or PDF document.

Funding Assessment

17. What funding does your organization currently have available/allocated for running a Cooking Matters program? Where does the funding come from? How long will it last?*

18. Will your organization seek additional funding for running a Cooking Matters program?

Yes
No

18b. If so, how long will it take to get the funding, and where will you seek it?

19. Is your organization prepared to cover the cost of course equipment (e.g., bins – approx $500 per bin set)?*

Yes
No

19b. If so, how will it be funded?

20. Is your organization prepared to cover the cost of/supply in-class and take-home groceries, as well as in-class supplies (e.g., eating utensils, plates/cups) for all Cooking Matters courses and class participants?*

Yes
No

20b. If so, where will the funding come from? Is it sustainable?

21. Is your organization prepared to cover the cost of any necessary child care for Cooking Matters course participants’ children?*

Yes
No

22. Is your organization prepared to cover the cost of any necessary translation services for non-English speaking Cooking Matters course participants?*

Yes
No

23. Does your organization have the ability/willingness to help raise additional funds, as necessary, to support the costs of running Cooking Matters courses in your community?*

Yes
No

Thank you for your interest in Share Our Strength’s Cooking Matters program! After reviewing your application, we will contact you to discuss the possibility of partnering with your organization to offer Cooking Matters courses on a satellite basis.

Name

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