Jewish Family Services food bank request form

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Please indicate which categories of food your household needs, and, if applicable, what food types your household CANNOT use due to food allergies, sensitivities, or dietary restrictions. We will put together an assortment of nonperishable, shelf-stable food items based on your stated preferences and restrictions.

Food deliveries happen once a month. Clients who can come to Temple Beth Shalom to pick up food are strongly encouraged to do so. To enter the building, you must show proof of vaccination against COVID and wear a mask. If you are unvaccinated and/or do not wish to wear a mask, we can bring food to you in the temple parking lot. If, due to mobility or other challenges, no one from your household can come to the temple, we will deliver within Spokane.

Please provide your full name. *

IF this is your first time filling out this form, or if there has been a change since the last time you received food from us, please provide the following: 1) a working email address and/or phone number where we can reach you and 2) the number of people living in your household (and their ages).

Do you currently use food assistance resources besides the JFS food bank? If so, please indicate which. If not, please indicate your ZIP code so we can help you find additional food assistance resources in your area. *

What categories of food does your household need at this time? *

Canned soups (e.g., tomato, chicken noodle, vegetable beef)

Dried and/or canned beans (e.g., kidney, garbanzo, pinto, black, refried)

Canned tuna and/or chicken

Canned vegetables (e.g., corn, carrots, peas, green beans, green peas)

Grains (white or brown rice, lentils)

Breakfast items (e.g., oatmeal, Cheerios, Raisin Bran)

Canned or jarred tomato products (diced, whole, sauce, paste)

Canned fruit (e.g., applesauce, pears, peaches, pineapple, pumpkin for pie filling)

Mixes (e.g., muffin mix, instant mashed potatoes, boxed mac and cheese, Beefaroni)

Drinks (e.g., vegetable juice, V8; almond, soy, and powdered milk)

Jewish foods (matzo meal, matzo ball mix, matzo)

Other (e.g., evaporated and condensed milk, peanut butter, vegetable oil, salad dressing)

Snacks (e.g., granola bars, raisins, cereal bars)

Gluten-free (e.g., red lentil or edamame pasta)

Non-food items (light bulbs, dental floss, adult undergarments, sanitizing wipes, KN95 facemasks)

Required

Please let us know if there are types of food your household does NOT wish to receive due to allergies, sensitivities, or dietary restrictions.

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