Why is SNAP important?
Take a minute to share how SNAP (the Supplemental Nutrition Assistance Program, also known as Food Stamps) makes a difference to you and your family or your clients, patients, or program participants.
How has SNAP impacted your life and what's at stake for you and your family if the program were to be cut or changed? *
Your answer
Name *
Your answer
The SNAP program is important to me because: *
Street Address *
This is used to identify which Congressional District you reside in. We will never share your address with anyone for any reason.
Your answer
City *
Your answer
Zip code *
Your answer
Phone Number
Your answer
Email Address
Your answer
Best way to contact you? *
Are you interested in personally sharing your story with reporters, elected officials, and/or at an event? *
If you answer yes then we will contact you to discuss opportunities as they arise, and you can always opt out of any opportunity (media, elected official meeting, etc).
May we contact you to discuss your story? *
We will always ask your permission before we release any contact information or highlight your story.
Never submit passwords through Google Forms.
This form was created inside of Sargent Shriver National Center on Poverty Law. Report Abuse - Terms of Service - Additional Terms