Spring 2024 LSC-M Food Pantry Intake Form

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This form is only filled out once each year and the information is only used to report demographic information to the Montgomery County Food Bank, since we are a partner organization with the MCFB.

Please only fill out 1 form per household, indicating all individuals who reside within the household on this form.

Email *

Full Name (First and Last/Surname) *

Please select one of the following: *

Lone Star College Student

Lone Star College Faculty/Staff

Community Member (not Lone Star College affiliated)

Housing Type *

Vehicle

Shelter/Mission/Transitional Housing

House/Apartment/Trailer

With Family/Friends

Unhoused

Other

Required

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