CalFresh Intake Form

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Please fill out this form if you would like to ask us questions about CalFresh or if you would like to schedule an appointment for Application Assistance.

Please note that the Aggie Compass CalFresh Team does not conduct the county CalFresh interviews which are required after you apply for CalFresh.

To learn more about CalFresh or to apply on your own, please visit our webpage at https://aggiecompass.ucdavis.edu/get-calfresh.

Email *

Student ID Number *

Last Name *

First Name, Middle Name *

UC Davis Student Email Address *

Phone Number *

How did you hear about CalFresh? *

Have you applied for CalFresh before? *

No, I have not applied for CalFresh before.

Yes, I have applied and I am waiting to hear back.

Yes, I have applied and I was denied.

Yes, I have applied and was approved.

Which county do you CURRENTLY reside in (If you live in Davis, you reside in Yolo County)? *

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