YPI Pantry Access
Hey there, YPI Family! Thank You for working with us through this tough time. YPI Staff, Clinicians, and Interns are missing you & sending you and your loved ones our best wishes until we are able to hang out in Drop-in again.

In this form, we will ask about any Allergies/ Dietary Restrictions you have.

When picking up goods we ask:
- Come alone or limit the size of your party.
- Please respect Individuals capacity of intimacy (The CDC recommends that all people stay at least 6 feet away from one another)
- Please arrive promptly and leave promptly to lower the risk of running into another appointment

Each basic bag of pantry supplies will come stocked with at least one type of grain (pasta, rice, etc.), two canned vegetables, one canned beans, two canned soups, and a few miscellaneous nonperishable food items.


For everyone's safety, the Drop-In Center will remained closed until further notice. Access to the space will remain limited.
What is your first and last name? Make sure to use the same name as person who set the appointment. *
Your answer
What is your email address? *
Your answer
What is your phone number?
Your answer
What is the best way to contact you (phone number, email, facebook messenger, etc.)? Please provide any links or information so we can confirm your appointment with you. *
Your answer
Are you 23 or younger? *
Required
When are you available to come in and pick up your pantry items? *
Appointments to pick up pantry items will be 15 minutes long, 11:30-2:30 on Mondays, Wednesdays, and Fridays, and 2:30-5:30 on Tuesdays and Thursdays. Please indicate ALL TIMES you would be available to come to YPI to pick up and a staff member will confirm one of those time slots with you.
Your answer
Dietary Eating Restrictions? (select all that apply) *
Required
In addition, please select any items you are currently in need of...
We will do our best to provide these individual needs, however in some cases our stocks are limited. At this time unfortunately we cannot provide cleaning supplies or products. If you do not see something you need, please fill in "other" and we will try to accommodate your need.
We will create a bag of pantry items for you based on the information you have provided and hand them to you at the YPI staff door (double doors to the left of PSU's red doors). When you pick up, please ring the doorbell and take a step back so staff may remain 6 feet away from you. THANK YOU!
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