X
X
Diaper Bank School Program Application
School Information
School Name
School Address
Primary Contact Name
Primary Contact Email
Primary Contact Phone Number
Grade Level
Number of Students Participating
Diaper Drive Information
Proposed Date(s) of Presentation
Are you interested in an in-person or video presentation?
Select ...
In-Person Presentation
Video Presentation
Proposed Date(s) of Drive
Target Audience for the Diaper Drive
Students & Families
School Faculty
Local Community
Other
How will your school promote the diaper drive?
School Newsletter
Parent Emails/Communications
Student Posters
School Morning Show
Other
Will your school need to borrow diaper collection bins?
Select ...
Yes
No
Diaper Packing Information
Are you interested in having students pack diaper kits?
Select ...
Yes
No
Proposed Date(s) of Diaper Packing
Do you have a space on campus for a diaper packing? Packings require several tables with space for students to pack kits.
Select ...
Yes
No
Does the school's General Waiver of Liability cover an on campus diaper packing?
Select ...
Yes
No
Additional Information
Can The Junior League of Tampa take photos and/or videos of students, teachers, or staff during Diaper Bank activities?
Select ...
Yes
No
Does your school want to be recognized on social media?
Select ...
Yes
No
If yes, please share any social media handles and/or hashtags to include.
Additional comments
You are not currently logged in. Please log in to submit this form.
Cancel