Cultural Food Access Program

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Cultural Food Access Program – Waitlist Form

This form places you on the waitlist for our Cultural Food Access Program, which supports individuals and families who self-identify as Black, African, Caribbean, or of African descent.

Submitting this form does not guarantee immediate service. When space becomes available, our team will contact you. Your responses are confidential and used only for program planning and communication.

Email *

First Name *

Last Name *

Phone Number ( for example 416-832-5639) *

*We may contact you by phone or text when space becomes available.

Are you currently living in Toronto or the GTA? *

Yes

Postal Code (M9N3T8) *

This program is designed to support individuals and families who identify as Black, African, Caribbean, or of African descent. Do you identify as part of these communities?

*This question helps us ensure the program is accessed as intended by funders.

Yes

Prefer not to say

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This form was created inside of Afri-Can FoodBasket.

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