Food Joy 2018 Discounted Meal Kit Application
Thank you for your interest in our discounted meal kit subscription. We offer a limited number of discounted shares in an effort to make our product available to the widest range of customers. We hate to have to turn someone away due to inability to pay.

The discounted shares are available on a first-come, first-served basis, to qualified applicants. We cannot guarantee every qualified applicant a discounted share.

We reserve the right to require tax documents, proof of SNAP benefits, or other income verification tools.

Email address *
Please confirm your email address. *
Your answer
Do you receive federal Supplemental Nutrition Assistance Program (SNAP) benefits? *
What is your total ANNUAL family household income? *
Please list the total net amount (not Gross) calculated by adding the net income of each household member.
Your answer
How many people does this income support? *
Include only permanent household members.
Please describe your circumstances and why you feel you could benefit from a discounted share. If you are physically or mentally disabled or otherwise unable to work, please include that information as well. *
Your answer
What are the ages of your household members, including you?
Your answer
Please list any additional sources of income and how much they are annually. *
Your answer
What is your WEEKLY grocery budget? *
Your answer
How many shares would your family benefit from? *
Are you, or is someone in your household, physically able to read a recipe card and cook a meal from scratch? *
Low-income shares are discounted by 40%, meaning they are priced at 60% of the cost of the 2018 fee schedule on the sign up page of our website. Are you able to afford this amount? *
Are you able to volunteer any time at the farm? *
Please share your contact info so we may be in touch regarding your eligibility.
Your Full Name *
Your answer
Mailing Address *
Your answer
Phone Number *
Your answer
Affidavit
I certify that the information I have provided herein is true and correct, and will be used for the purposes of determining my eligibility for a reduced cost meal kit subscription in Food Joy's 2018 program. I understand that I may be asked to provide proof of income such as tax documentation and I am willing to provide this information to verify my eligibility.
Please type your name below to indicate your e-signature of this form. *
Your answer
A copy of your responses will be emailed to the address you provided.
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