Church Food Pantry Intake Form

Food pantry intake form all cafb partner agencies are required to use this intake form name address city state zip code phone number number of people in household are you currently receiving any form of government assistance ie food stamps social security etc.

Church food pantry intake form. Copyright 2020 human needs food pantry. To request a copy of the complaint form call 866 632 9992. On wednesdays food is available at the austin reconciliation church located at 7000 cameron road austin texas 78752. It is located in the back lot of the church.

Department of agriculture office of the assistant secretary for civil rights 1400 independence avenue sw. Most food pantries are nonprofit organizations that rely on the donations they receive from people or business corporations and on people in the community who work for the organization as volunteers. Click here for a printable pdf of our documentation needed. Lion s share food pantry.

To keep track of the amount of families that participate in the food pantry programs organizations need to have intake forms. Letter addressed to usda and provide in the letter all of the information requested in the form. Brazos valley food bank page 2 revised april 06 2018 do not write below this line. A nonprofit community based food pantry serving happy county.

Forms click here for a printable pdf of our intake form. Food pantry open hours. Food pantry family intake form author. Agency officials only agency documentation.

A church with worship services and charitable outreach including a food pantry. 4 19 2018 10 57 18 am. Receiving government assistance is an income eligibility indicator allowing food pantry staff to know you automatically are eligible to. The main food pantry except wednesdays is located in the southwood shopping center at 4403 russell drive austin texas 78745.

Food distribution is the 1 st and 3rd tuesday of every month from 9 am to 10 am in the vestibule of the fellowship hall of poplar spring baptist church 290 springdale dr simpsonville sc 29681 usda nondiscrimination statement. The pantry opened in june 2012 and is sponsored by the duxbury lions club. Food for your pantry should not be accessible for general church or agency activities. The food pantry is an all volunteer organization committed to helping those in duxbury and the surrounding communities in need of food.

Make up boxes or bags of food conduct client intake clean and maintain the facility. Submit your completed form or letter to usda by. Website design by the montclair group. Mondays 10 30am 12pm.

Contact food pantry office staff at 512 953 5974 for more information. Any church applicant must submit a church qualifier form enclosed in full application. The hungry hippos community food pantry serves community members in need as part of its larger mission to honor hippopotamuses everywhere.