Inquiries from new agencies are welcome via:

  • New Agency Application below
  • Via email  info@birchcommunityservices.org
  • By phone 503.251.5431

Your Name: (required)

Your Title: (required)

Is your Agency a 501c3 Nonprofit? (required):
YesNo

Organization:

Email: (required)

Address Line 1:

Address Line 2:

City (required):

State (required):

Zip code:

Telephone:

How are you funded?:

What other sources do you have for assistance (food, etc)?:

How often do you receive other assistance?:

What is your primary target group?:

Why do you desire the assistance of Birch Community Services?:

How often do you provide food/goods to your target group?:

Approximately how many people do you feed in that timeframe?:

I have additional questions about:


Andrew R