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Sylvia's Sisters

End Period Poverty

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Partner Application

"*" indicates required fields

Thank you for your interest in receiving period products from Sylvia’s Sisters! We’d love to partner with you to help menstruators in need. So, what’s next?

Make sure you are within our service area.
Please read the Distribution Partner Manual.
Fill out the below form to the best of your ability. You only need to fill it out once to receive products from us on an automated or as-needed basis going forward.
Once the form is submitted, we will be in touch with you regarding your application status and next steps.

We are current operating on a waitlist. Approved applications will be added to it. We will not be able to provide products immediately.

Organization’s Information

Organization's Name (including School name, if applicable)*

Organization’s Address*

Address Line 1 Address Line 2 City State ZIP Code

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Organization’s Website or Social Media (Hidden)

Organization’s Website or Social Media

Type of Organization*

501c3 organization

K-12 school

Post-secondary school

Faith-based organization

Local/State agency

For-profit entity

Other

Mission Statement*

Please describe your organization’s mission and/or how you’ll be using the menstrual products.

Is your organization listed with 211virginia.org?*

Yes

No

Don’t Know

How did you learn about Sylvia’s Sisters?*

Previously received products

Internet search

Social media

Recommended by someone

Other

Period Product Distribution Program

Demographic data is important to help us apply for funding so we can continue to serve you; you may still be approved if you do not have this data.

Primary contact person for period product distribution program*

First Last

Title/Position within Organization*

Email*

Phone*

To your best estimate, how many menstruators does your program serve each month?*

If you do not know, please enter “Unknown.”

Does your program service menstruators from (Check all that apply)*

Richmond (City)

Henrico

Chesterfield

Hanover

Goochland

Powhatan

Louisa

New Kent

Charles City

Petersburg

Colonial Heights

Hopewell

Other

If you selected "Other," list the counties and independent cities that your program serves.*

Please separate each with a comma.

What zip codes does your program serve?*

Please separate zip codes with a comma. If your organization does not track this information, please enter “We don’t track this information”

Does your program specifically serve any of the following groups (Check all that apply)*

Students K-12

Post-secondary Students

Low income communities

Veterans

Active Military

Homeless

Individuals with disabilities

Domestic violence survivors

Formerly incarcerated

Immigrants/refugees

LGBTQ+

Individuals being treated for addiction or in recovery

Other

If you selected "Other," list other groups that your program serves.

Please separate each with a comma.

What is the income level of the population your program serves? (Check all that apply.)*

100% or below the Federal Poverty Limit

100-200% of the Federal Poverty Limit

200%+ of the Federal Poverty Limit

Unknown (We don’t track this information)

To your best estimate, what is the age breakdown of the population your program serves? (Enter percentages without % symbol)

0 – 4 years old (Pre-Kindergarten)*

Please enter a number from 0 to 100.

5 – 10 years old (Elementary School)*

Please enter a number from 0 to 100.

11 – 14 years old (Middle School)*

Please enter a number from 0 to 100.

15 – 17 years old (High School)*

Please enter a number from 0 to 100.

18 – 24 years old*

Please enter a number from 0 to 100.

25 – 39 years old*

Please enter a number from 0 to 100.

40 – 49 years old*

Please enter a number from 0 to 100.

50+ years old*

Please enter a number from 0 to 100.

Unknown (Enter 100 if you don't track this information)*

Please enter a number from 0 to 100.

Total (should be 100%)

To your best estimate, what is the demographic breakdown of the population your program serves? (Enter percentages without % symbol)

Asian/Asian American*

Please enter a number from 0 to 100.

Black/African American*

Please enter a number from 0 to 100.

Hispanic/Latino/Latina/Latinx*

Please enter a number from 0 to 100.

Middle Eastern/North African*

Please enter a number from 0 to 100.

Native American/American Indian/Alaska Native/Indigenous*

Please enter a number from 0 to 100.

Native Hawaiian/Pacific Islander*

Please enter a number from 0 to 100.

White/Caucasian/European*

Please enter a number from 0 to 100.

Multi-Racial/Multi-Ethnic (2+ races/ethnicities)*

Please enter a number from 0 to 100.

Another race or ethnicity*

Please enter a number from 0 to 100.

Unknown (enter 100 if you don't track this information)*

Please enter a number from 0 to 100.

Total (should equal 100)

How often does your program distribute period products?*

Once for one-time event

Daily

Weekly

Monthly

Every other month

Quarterly

Twice a year

Sporadically whenever requested

Please describe the event, including when and where it will be held and who will be served.*

By what date would you need to receive these products?*

Month

Day

Year

Are you a Communities in Schools Representative or School?*

No

Yes

How many period products would you like to request?

Video (2 minutes): What products will work best for my organization?

Kits are great to give a menstruator a full month’s supply with a variety of products. Kits should not be deconstructed. Younger menstruators tend to prefer pad kits, not tampons. Individual products are nice to hand people only what they need in the moment, supply in bathrooms or if the products need to be easily identifiable.

Pads Kits (pads & liners)

Mixed Kits (pads, tampons & liners)

Tampon Kits (tampons & liners)

Individual Pads (*Total number of pads, not packages or boxes*)

Individual Tampons (*Total number of tampons, not packages or boxes*)

English language menstrual health educational brochures

Spanish language menstrual health educational brochures

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Leggings (*Schools and CIS only*) Hidden

Leggings (*Schools and CIS only*)

Specify sizes and quantities of leggings requested.

This field is hidden when viewing the form

Underwear (*Schools and CIS only*) Hidden

Underwear (*Schools and CIS only*)

Specify sizes and quantities of underwear requested.

Would you be interested in receiving these products on a recurring schedule?*

Yes

No prefer to submit requests as needed

How often would you be interested in receiving products from Sylvia's Sister?*

Monthly

Every other month

Quarterly

Twice a year

Annually

Have you received period products from Sylvia’s Sisters in the past?*

Yes

No

Don’t know

Do you receive period products from other organizations or sources?*

Yes

No

Don’t know

If yes, from whom?

If approved as a distribution partner…

Would your organization be able to pick up fulfilled requests from our storage location near 3900 W. Broad Street in Richmond?*

Yes

No

What days and hours would your organization be able to accept the delivery?

Example: Monday- Friday 8am-3pm

Could Sylvia’s Sisters refer menstruators in need to your organization to receive period products?*

Yes

No

Does your organization have eligibility requirements?*

What are your organization's pick up location, hours, and special instructions?*

Is there a phone number or email for menstruators who may have questions about picking up period products from your organization?*

Acknowledgements

Consent*

Our organization does not discriminate based on race, religion, national or ethnic origin, age, disability, marital status, sexual orientation, or gender identity or expression.*

Consent*

All information in this application has been provided in good faith and is accurate to the best of my knowledge.*

Consent*

I have read and understood the Distribution Partner Manual*

Consent*

I understand that this application is just the first step and does not guarantee that our organization will receive products from Sylvia’s Sisters.*

Consent*

I understand that approved partners will be asked to complete an annual survey to provide Sylvia’s Sisters with information about their programs and how they used products received.*

Signature*

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Efficient & Effective

As the region’s oldest period product bank and menstrual advocacy organization, Sylvia’s Sisters is known for its effective programming and cost efficiency—we do a lot with very limited resources.

How Can We Help?

Are you an organization, school or individual in need of period products? Request period products.

Have questions, comments or want to join the mission?

Keep in Touch

information@sylviassisters.org

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Copyright © 2026 Sylvia's Sisters, a 501 (c)(3) public charity registered with the US Internal Revenue Service. Contact us.