The Community Feed-Returning Visitors

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for visiting The Community Feed.

This form is for all TCC students. Please complete this form for every visit within a month. If you are a first time visitor, please complete this form, then return to the main site and select the "First-time visitors" button.

Email *

First Name *

Last Name *

TCC ID *

Phone Number *

Please select the primary campus that you attend. *

Chesapeake Campus

Norfolk Campus

Portsmouth Campus

Virginia Beach Campus

Within the past 90 days, how often was this statement true: My family has worried whether our food would run out before we got money to buy more. (Please select one.) *

Often true

Sometimes true

Never true

Within the past 90 days, how often was this statement true: The food that we bought just didn't last, and we didn't have money to get more. (Please select one.) *

Often true

Sometimes true

Never true

Have you visited The Community Feed before? *

Yes

This is a program for TCC students experiencing food insecurity. Currently we are not limiting visits per month. Please limit your visits to what is needed to supplement your household's food needs.

Please select a time to pick-up your items on Tuesday, September 29 between 12:30 pm - 4:00 pm.

12:30 p.m.

1:00 p.m.

1:30 p.m.

2:00 p.m.

2:30 p.m.

3:00 p.m.

3:30 p.m.

4:00 p.m.

Clear selection

Please select a time to pick-up your items on Wednesday, September 30 between 3:00 pm - 6:00 pm.

3:00 p.m.

3:30 p.m.

4:00 p.m.

4:30 p.m.

5:00 p.m.

5:30 p.m.

6:00 p.m.

Clear selection

Please select a time to pick-up your items on Thursday, October 1 between 12:30 pm - 4:00 pm.

12:30 p.m.

1:00 p.m.

1:30 p.m.

2:00 p.m.

2:30 p.m.

3:00 p.m.

3:30 p.m.

4:00 p.m.

Clear selection

Please select a time to pick-up your items on Friday, October 2 between 11:00 am - 2:00 pm.

11:00 a.m.

11:30 a.m.

12:00 p.m.

12:30 p.m.

1:00 p.m.

1:30 p.m.

2:00 p.m.

Clear selection

Please select two meal kits. (If you would only like one meal kit, you'll receive two of the same meal kits.) *

Tuna Pasta Salad

Turkey Lettuce Tacos

Veggie Quesadillas

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms