Form

Application Timeline

The Junior League of Tampa Alliance for Period Supplies (“JLT APS”) has moved to a once-per-year application process. Review of applications for monthly partnership is conducted once per year on the following timeline. If your organization has an urgent need for period products, fill out the Request for Period Products form on our website.

Applications Accepted: Applications due by April 30th!

Review Period: June/July

Notification: By July 31

First Order Due: First Friday of August

First Distribution: Last Week of August

Organizational Information

Please complete the below information about your organization.

Organization's Legal Name

Other Names Used by Organization

Nominator Name

Mailing Address

Organization Phone Number

Organization Website

Organization Social Media Handles

Organization Mission Statement

Executive Director Name

Executive Director Email

Executive Director Phone Number

Primary Contact

Primary Contact Title

Primary Contact Email

Primary Contact Phone Number

Is your organization a current or former partner of The Junior League of Tampa?

If yes, please explain.
If your organization has previously received supplies from the JLT Alliance for Period Supplies, include the number of period products received.

Period Supplies Program Information

Please provide some basic information about your organization's period supplies program and how it will use the resources provided by The Junior League of Tampa Alliance for Period Supplies.

Period Supplies Program Description
Please include who your organization distributes to and how your organization runs the distribution process.

Program(s) Distributing Period Supplies

How often does your organization distribute period supplies to clients?

Weekly

Monthly

Emergencies Only

Other

Do you serve communities outside of Hillsborough County?

If yes, the JLT APS serves to combat diaper need and period poverty in Hillsborough County. If your organization assists individuals outside Hillsborough County, can your organization implement systems to ensure period product diaper distributions are made only to individuals residing in Hillsborough County?

What percentage of the population your Period Supplies Program serves lives below the federal poverty line?

Do you receive period supplies from any additional sources (excluding personal donations)?

How many period products does your organization currently distribute per month?

How did you hear about The Junior League of Tampa Alliance for Period Supplies?

Agreements & Requirement Attachments

Organizations applying for partnership must agree to provide The Junior League of Tampa Alliance for Period Supplies with information. Full terms of partnership will be outlined in a Memorandum of Agreement (MOA). To better understand the expectations of partnership please review the Let's Do This Together document.

Monthly partners must provide an annual impact statement describing a family, without any identifying information, you served and the impact our Alliance for Period Supplies has had on their lives. Is your organization willing to do this?

My organization has reviewed the Let's Do This Together document.

Monthly partners must provide pictures and/or videos, as well as post on social media to acknowledge our partnership. Is your organization willing to do this?

Monthly partners must work in good faith with the JLT APS to educate the community about period poverty. Is your organization willing to do this?

Monthly partners must provide statistics on period supplies recipients. Is your organization willing to do this?

Please upload the following files:

Document confirming your 501(c)3 status
Most recent 990
Your organization's annual profile/annual fact sheet

Submissions without these files will be considered incomplete and will not be reviewed. Please contact diaperbank@jltampa.org with any questions.

501(c)3 Upload

Most Recent 990 Upload

Organization Profile Upload

Projected Annual Period Products Request

Please provide accurate numbers which reflect the anticipated annual period product distribution of your organization. It is important that these numbers are as accurate as possible because partner decisions are heavily dependent upon these projections. Note that if accepted as a monthly partner and your monthly orders are drastically different than the projected numbers provided here, the JLT APS may not be able to fulfill all orders. You should use distribution numbers from last year to project what your organizational period product need will be this upcoming year.

JLT APS provides partners the option to order individual items or kits, which contain 10 like items in a zipped plastic bag. Please note your anticipated need for individual items and/or kits.

Kit:Tampons - Regular

Kit:Tampons - Super

Kit:Pads - Regular

Kit:Pads - Super

Individual:Tampons - Regular

Individual:Tampons - Super

Individual:Pads - Regular

Individual:Pads - Super

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Alliance for Period Supplies Monthly Partner Application 2024-2025