Direct Services Change Request (Internal) Direct Services Change Request (Internal Use) This form is to be used by Direct Service Program staff to communicate program changes that will affect other departments. Based on the form content, an email alert will be generated to the appropriate groups (Volunteer Services, Ops, etc.)Examples of changes to request include:Distribution time changeDate changeLocation changeIf a site is converted to drive-thru Questions? Please email Chelo, cgonzalez@foodbankccs.org Name (person completing this form)(Required) First Last Email (person completing this form)(Required) Enter Email Confirm Email New site or change(s) to existing site?(Required) New site Change(s) to existing site Canceled or inactive site For existing sites, only complete the sections below pertaining to the change (e.g., if a CPP site is changing FROM a drive-thru TO no longer being a drive-thru, answer Drive-Thru? = No).Effective Date(Required) MM slash DD slash YYYY Date this should change should go live/be listed on the Find Food Map.Select Program(Required)Select one.College Pantry ProgramCommunity Produce ProgramCSFP (Commodity Supplemental Food Program)Extra HelpingsFarm 2 KidsK-NOW (Kids Nutrition on Weekends)Mobile Food PharmacyMobile Pantry DistributionSchool Pantry ProgramSenior Food ProgramHarvest to HomeNavision ID (format: _ _ _ _ - _ _ _ _ _)(Required)Direct Distribution InformationLocation is needed for all form submissions. Complete all sections for NEW sites. For CHANGES to existing sites, only complete the sections below pertaining to the change (i.e., enter the NEW info that is effective as the date specified above). Location Name (e.g., Davis Park Multi-Purpose Room)(Required)This should match google map listings because it will be used publicly on our website if the site is 'open' for clients and/or our Volunteer Portal if Food Bank volunteers are needed.Address Street Address City ZIP Code Distribution Days (e.g., 1st & 3rd Wednesday)Distribution Start Time Hours : Minutes AM PM AM/PM Distribution End Time Hours : Minutes AM PM AM/PM Canceled Date(s)Specify any dates we will not be distributing due to Food Bank holidays (e.g., Nov 26; Dec 31)Rescheduled Date(s)Specify and dates being rescheduled due to Food Bank holidays. Include "From" and "To" dates (e.g., Nov 26 moved to Nov 19; Dec 31 moved to Dec 17)Drive-Thru? Yes No Does this request impact the Find Food Map (on the Food Bank's website)?(Required) Yes No If "Yes" is selected, an internal email alert will be sent to those who maintain the Find Food Map.Can you provide any Helpful Tips for clients receiving food? For example: “Enter from Cowell Road for easiest access.” or “Parking is for clinic patients only, street parking is available for food distribution.”Helpful Tips are published on the Find Food Map for any agencies open to the general public.Does this request impact Food Bank volunteers?(Required) Yes No If "Yes" is selected, an internal email alert will be sent to Volunteer Services.Does Operations need to receive this change request form?(Required) Yes No If "Yes" is selected, an internal email alert will be sent to designated staff within our Operations department.Is this Senior Food Program site open or closed?(Required) Open Closed Is this CPP distribution on Route 1 or Route 2? Route 1 Route 2 Volunteer Services InformationSpecial Directions to be shared with volunteers (e.g., Park in Lot A):Volunteer Shift Start Time: Hours : Minutes AM PM AM/PM Volunteer Shift End Time: Hours : Minutes AM PM AM/PM Number of Volunteers Needed:Senior Food Program InformationSFP Volunteer Site Manager Name First Last SFP Volunteer Site Manager Email SFP Volunteer Site Manager Address Street Address City ZIP Code SFP Volunteer Site Manager PhoneOther InformationAdd notes about updating warehouse calendar, etc.Miscellaneous Notes