Interested in using GetCalFresh.org for your organization?
Thank you for your interest in using GetCalFresh.org! A CBO account will support you as your organization conducts CalFresh outreach and application assistance. To help us get you started please answer the following questions.

*If your organization already has an account and you wish to be added, email your request to: cbo@getcalfresh.org

**This form is not an application for food/EBT/SNAP benefits! If you are looking to apply for benefits please visit: www.getcalfresh.org/apply. **
Sign in to Google to save your progress. Learn more
What is the name of the organization requesting an account? This is how it will appear in the account. *
Is your organization a registered non-profit?
Clear selection
Who is the main point of contact? *
What is the main point of contact's email? We will follow-up with this email. *
Counties the organization operates in? *
Admin Assister
Admins have to the capability to add and remove assisters on the account and assign more admins. There can be more than one admin on the account.
What is the name of the person who should be designated as an admin on the account? *
What is the email address of the designated admin of the account? *
Almost done...
Please allow for a 1 week turnaround for accounts to be created. If you have any questions or thoughts, leave them below and we'll address them when we reach out.
Does your organization have an existing CalFresh outreach or application assistance program? *
Do you have a contract for CalFresh Outreach? If so, let us know with whom.
How did you hear about GetCalFresh.org?
Questions, concerns, suggestions?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Code for America. Report Abuse