Cheylesmore Food Hub Household Membership Application
This service is for residents of Cheylesmore (including Whitley and Stonehouse Estate) and Earlsdon wards only
If you are not sure whether you qualify, or live outside of Cheylesmore or Earlsdon please contact Coventry City Council's Emergency Food Networks hub on 08085 834 333

The Food Hub is a membership club where you pay £5 each week but you will receive approx £20 of food to help feed your family. Food is delivered to your doorstep on a Saturday morning by volunteers.
You will receive a bag of the following:
- 3 tins of beans, soup, tomatoes, veg or fruit
- 1 tin of tuna or meat
- 1 litre of long life milk
- a packet of cereal or cereal bars
- pasta, rice, mash or noodles
- sauces and condiments when available
- tea, coffee or squash

Plus - a fresh bag of fruit / veg / short-dated chilled items which need to be used quickly.

Sign in to Google to save your progress. Learn more
Email *
Your name *
Your address *
Phone number *
Names and ages of others living at this address *
Household receives Universal Credit *
Household is on a Low Income *
A child in the Household receives Free School Meals *
Household receives Pensions only *
Self employed / unable to work due to COVID-19 *
Does anyone in your household have any allergies, intolerances or dietary requirements? *
If the answer is yes above, please give details here (please note we will do our best to ensure we cater to this but it will be your responsibility to check ingredients before consuming supplied foods)
Do you have a working fridge? *
Do you have a working freezer? *
Do you have a working microwave? *
Do you have a working oven? *
Do you have a working hob? *
Do you have a dry food storage cupboard? *
Would you be interested in being connected with a volunteer who can give you cooking/recipe advice? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy