Mobile Food Pantry Request Survey
Please complete the survey below in order for the ESU Community Navigators can support families with supplemental food boxes. There are no eligibility requirements!!
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Would your family benefit from supplemental food through the ESU2 Mobile Food Pantry? *
In order to best serve your family, are there any foods and/or allergies we should try to avoid when packing up supplemental food boxes? *
How many adults (18-64) are in your household? *
How many children (0-17) are in your household? *
How many seniors (65+) are in your household? *
Would there be any adults home during the day to receive a delivery of supplemental foods to your home? *
Address: *
Phone Number: *
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