KFAN Members - Update Your Information
When you provide your county and zip code, you're helping us show our funders who we're serving and engaging with. Thank you!  
This form is for current members of the Kentucky Food Action Network. Please make us aware of any changes to your contact preferences, your organizational affiliation, and your location. 
Sign in to Google to save your progress. Learn more
Name *
Pronouns
Email *
Phone number
Preferred contact method (select all that apply) *
Required
County *
Zip Code *
Organization (if part of one)
Are you a farmer? *
Have you in the past or do you currently use SNAP or WIC?
*
Do you work directly with services for people who experience food insecurity?
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kentucky Equal Justice Center.

Does this form look suspicious? Report