SCV Car Food Box Recipients

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Please let us know a little about how the food boxes were used / given out. This will help us in developing our program to best fit your needs & the needs of the youth you serve. Thank you for taking the time to help us grow this program from Finally Family Homes!

Date box was given to recipient (approximate is OK) *

YYYY

What's the housing situation of the recipient? *

Homeless (living in a car)

Homeless (other)

Housed but without access to a full kitchen

Other:

More About the Recipient

The following information is optional but will help us to ensure future funding from grantors who want to know the demographics of those being served by the program.

Is the recipient currently?

Employed

Attending School

None of the above

Unknown

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Age of Recipient

Under 18

18-24

25-30

31+

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Please specify recipient's ethnicity

A. Caucasian

B. African-American

C. LatinX or Hispanic

D. Asian

E. Native American

F. Native Hawaiian or Pacific Islander

G. Two or More

H. Other/Unknown

I. Prefer not to say

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Does the recipient have children currently in their care?

Yes

Unknown

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