Food Hamper Application

The purpose of the food hamper ministry here at Gospel Centre is to provide temporary support. There is a vetting process and not all applications will be approved for receving a food hamper depending on our ministry capacity at the given time of submitting an application.

Our ministry focus is community and fellowship. We want to support those in a difficult position while transitioning to get plugged into the right support. For long-term or ongoing support we encourage you to get connected to a food bank.

Name

This address will receive a confirmation email

Phone

Address

How many adults/teenageres are in your household (yourself included)?

1 2 3 4

How many children are in your household?

none 1 2 3 4

Please provide the first and last name of everyone in your household. If just yourself, this section can be left blank.

Are you employed?

Yes No

Who is your current employer?

What is your employer's phone number?

Are you currently using a food bank somewhere?

Yes No

Do you have any allergies?

I hearby acknowledge that the information above is correct and that this application is for temporary support to get connected to a food bank. (please write out full name if you agree)

Food Hamper Application

Description

Please Fix the Following