Ramah Food Bag Application/Referral

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Email *

What is your name?

Are you referring someone else for food assistance or yourself?
*

Are you (or they) receiving assistance from other food pantries? *

If yes, which one/s?

Is the need short-term or ongoing? *

Are you presently employed? *

Yes

Are you interested in receiving free financial counseling? *

Yes

Are you interested in receiving free biblical counseling? *

Yes

Are you a member of a local church? *

If so, how often do you attend?

Have you spoken with your pastor about assistance?

Yes

Clear selection

Please provide a correct phone number that you will answer.

Save 770-463-3516 in your phone for easier communication with Ramah.

Submit

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