Xander Community Partner Questionnaire
Thank You for your interest in becoming a Xander Community Partner in your county, and reminding the most vulnerable that they are loved and not alone. Please complete this form in its entirety and send back to email@example.com, so we can prepare donations in your community.
1. Your name ____________________________; email________________________; phone #_______________
2. County/ies you want to cover____________________________________________State ________________
3. # of children served in foster and/or kinship care annually in this county______________________________________
4. Name of agencies who provide foster and/or kinship care in this county _______________________________________
5. Address of where a donation shipment would be delivered: Is there a loading dock? _________
__________________________________ Name of building, business/or residence
__________________________________Name of contact ______________phone #
6. Date you want to receive the donation by _________.
7. I am committing to (please check):
_____Build a relationship with ALL foster care agencies in my county (though rare, all agencies may not want to receive Xanders);
_____Receive and store ( if necessary) Xander kits for the entire year for kids in foster and/or kinship care only;
_____Pay Freight cost for donation to be shipped to me ($.70-2.25/ea Xander depending on volume and location, with rising fuel prices, this cost changes weekly). Shipments may also be picked up on the farm in west Michigan;
_____Paypal or Venmo payments can be made through this email - firstname.lastname@example.org ( be sure to click on Family/Friends). You may also mail in a check to Lavender Life Company 464 Stanton Farms Drive SE Caledonia, MI 49316.
_____Ship the empty duffle back to Laveder Life Company (464 Stanton Farms Drive SE Caledonia, MI 49316) We reuse them over and over again;
_____Put the kits together (stuff lavender pouch in Xander Friend; place in the backpack and tie a bow - (approximately 2 minutes/Xander);
_____Deliver to all foster and/or kinship care agencies as they need them; &
_____Spread the word. We are able to donate with a grassroots support of many.