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Angel Foods Project Application
This application is to determine whether or not you are a part of the demographic The Ladies Of Hope Ministries is dedicated to serve. The Angel Food Project is a program of The LOHM that donates groceries to formerly incarcerated people and the families of currently and formerly incarcerated people. Once you fill out this information we will determine if you are eligible to receive donations.


None of your contact information will be shared with anyone outside of The LOHM organization. Any sensitive information will be shared anonymously. You will be contacted within two weeks time.

What is your full name ? *
Your answer
What is your cell phone number? *
Your answer
What is your email address? *
Your answer
City, State and Zip Code? *
Your answer
How many people are in your household? *
Your answer
Have you or anyone in your family ever been incarcerated? *
If your answer to the previous question was Yes, who was incarcerated? (choose N/A if you answered No) *
Required
Which locations are best for you to pick up groceries at? (choose all locations that apply) *
Required
Which days are you available to pick up groceries?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Open (I can pick up at any time)
Specific Time only (I can only pick up before or after a certain time)
If you chose "Specific Time Only", please explain.
Your answer
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