Form

Diaper Bank Data Collection 2022-2023

The Junior League of Tampa Diaper Bank collects monthly data from its distribution partners to better understand community needs and impact.

Please answer the following questions to the best of your ability. Leave blank any data collection points for which we previously agreed in the MOA your organization would not provide.

Upon submission, you will be able to access your monthly order form.

Organization Name

Diaper Distribution

Number of Diapers distributed annually (beginning in August 2022)

Number of children receiving diapers from you program annually (beginning in August 2022)

Number of Diapers distributed in the last month

Number of children receiving diapers from your program in the last month

List your agency program through which diapers were distributed last month

Demographics

If your organization was exempted from providing certain data points, please insert 0 as the answer.

Percentage of female children served last month

Percentage of male children served last month

Percentage of children aged 0-2 served last month

Percentage of children aged 3-5 served last month

Percentage of children older than 5 severed last month

Percentage of Hispanic or Latino children served last month

Percentage of American Indian or Alaska Native children served last month

Percentage of Asian children served last month

Percentage of White children served last month

Percentage of Black or African American children served last month

Percentage of Middle Eastern or North African children served last month

Percentage of Pacific Islander children served last month

What percentage of children severed last month live at or below the federal poverty line?

Additional Information

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