Harvest House


Food Pantry



FOOD ASSISTANCE APPLICATION

 

  • ·You will receive a text from Trinity Ministries when approved- You need to respond YES to receive more text

 

  • ·You will receive a text for your appointment to pick up food

 

  • You must be able to pick up your food or you must make arrangements for someone else to pick up your food.

 

  • ·You MUST show ID card that you will be issued at your first appointment

 

  • · You MUST bring this card to receive food and anyone picking up for you must show this card.


You Can Print This Card or You Can Download The File Below and Print

Download File

FOOD ASSISTANCE APPLICATION

 

Please fill out and return to drop box in front of harvest house building or give to harvest house volunteer.


NAME: ______________________________________________

ADDRESS: __________________________________________

AGE: __________________________

GENDER:  O MALE   O FEMALE

DO YOU HAVE A SPOUSE? O YES   O NO

WHAT IS YOUR HOUSEHOLD INCOME? __________________

HOUEHOLD NUMBER? _______

DO YOU RECEIVE SNAP (FOOD STAMPS)? _________

HOW MUCH SNAP DO YOU RECEIVE? _____________

Download File