Agency Monthly Report

If you have any questions, or if you would like to learn more about our free data intake program Oasis Insight, please contact Service Insights Manager, Hannah Freeman.

Hannah.Freeman@nwafoodbank.org

Cell: 479.282.6014

Office: 479.872.8774 ext 303

Agency Name*

Reporting Month*

Select or enter value

Person Submitting Report*

Email*

Number of Duplicated Individuals Served*

Duplicated means the total amount of visits, including when someone visits multiple times in a month.

Example: If Sally came to your pantry 5 times this month, she is counted 5 times.

Number of Duplicated Households Served*

Number of Unique Individuals Served*

Unique means each person was only counted once, even though they may have made multiple visits.

Example: If Sally came to your pantry 5 times this month, she is only counted once.

Number of Unique Households Served*

Gender

Duplicated Individuals (Children Included)

Number of Duplicated Females Served*

Number of Duplicated Males Served*

Number of Transgender/Gender Non-conforming Served*

Number of "Did Not Disclose Gender" Served*

Age Groups

Duplicated Individuals

0-6 Years Old*

7-17 Years Old*

18-60 Years Old*

61+ Years Old*

Undisclosed Age*

Ethnicity

Duplicated Individuals

Number of White/Caucasians Served*

Number of Hispanics Served*

Number of Black/African-Americans Served*

Number of Native Americans Served*

Number of Marshallese Served*

Number of Asians Served*

Number of Middle Eastern Served*

Number of Multiracial Served*

Number of Native Hawaiian /Pacific Islander Served*

Number of "Other" Ethnicity Served*

County (Duplicated)

Duplicated Individuals

Number Served from Benton County*

Number Served from Washington County*

Number Served from Carroll County*

Number Served from Madison County*

Number Served - Other Arkansas County*

Number Served - Other County (Missouri) *

Number Served -Other County (Oklahoma)*

Number Served - Did Not Disclose County *

County (Unique)

Unique Individuals - Currently not a report requirement, but you are more than welcome to submit them to help our Service Insights mission to better understand the neighbors we serve.

Benton County (Unique)

Washington County (Unique)

Carroll County (Unique)

Madison County (Unique)

Other Arkansas County (Unique)

Other County -Missouri (Unique)

Other County - Oklahoma (Unique)

Did not Disclose County (Unique)

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