YPI Pantry Access

Thank you for submitting our Pantry Access Form for a premade bag of food and toiletries. This service is part of our program serving youth up to the age of 23. If you fall outside of this age range, the RI Food Bank website lists locations around RI offering food assistance.

Each 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. You can select toiletries below.

When picking up goods we ask:
- Wear a mask at all times
- 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
What is your first and last name? Make sure to use the same name as person who set the appointment. *
What is your email address? *
What is your phone number?
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. *
How many people in Your Household are 23 or younger? *
When are you available to pick up your pantry items? Please list a few days and times. We will contact you with what works for us. *
Dietary Requests or protocols? (select all that apply) *
Do you have any food allergies we should know about? If so, please list
Please select any toiletries 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.
If you need menstrual products what do you prefer? Check all that apply. We will do our best to accommodate based on availability
Please select any clothing items you are currently in need of:
While we cannot let you try on the clothes in our space, you are more than welcome to bring them back/exchange them the next time you pick up a bag if something does not fit. All returned clothes will be seperated in an isolated area for a week and then returned to the pantry.
Please specify sizes and any specifics you think are important to know when selecting your clothing request.
Never submit passwords through Google Forms.
This form was created inside of Youth Pride Inc.. Report Abuse