Jewish Family Services food bank request form

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Please indicate which categories of food your household needs, and, if applicable, what food types your household CANNOT use due to food allergies, sensitivities, or dietary restrictions. We will put together an assortment of nonperishable, shelf-stable food items based on your stated preferences and restrictions.

Food deliveries happen once a month. Clients who can come to Temple Beth Shalom to pick up food are strongly encouraged to do so. If, due to mobility or other challenges, no one from your household can come to the temple, we will deliver within Spokane.

Please provide your full name. *

IF this is your first time filling out this form, or if there has been a change since the last time you received food from us, please provide the following: 1) a working email address and/or phone number where we can reach you and 2) the number of people living in your household (and their ages).

Do you currently use food assistance resources besides the JFS food bank? If so, please indicate which. If not, please indicate your ZIP code so we can help you find additional food assistance resources in your area. *

What categories of food does your household need at this time? *

Soup: butternut squash, lentil, Chef Boyardee (Spaghetti-Os, etc.)

Beans: canned kidney, garbanzo, pinto, black, white, refried; dried lentils and split peas

Canned tuna, chicken

Rice: white, brown, cauliflower "rice"

Canned corn

Oatmeal

Marinara sauce, crushed tomatoes

Pasta

Canned/jarred fruit: black currant jam, mixed fruit, sweet potatoes, apricots, pumpkin

Mac and cheese (boxed)

Corn muffin mix

Bottled water

Other: evaporated milk, vegetable oil, chocolate chip cookies

Non-food: lightbulbs

Required

Please let us know if there are types of food your household does NOT wish to receive due to allergies, sensitivities, or dietary restrictions.

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