SNAP Referral Form

The Akron-Canton Regional Foodbank is available to screen and assist clients with applying for SNAP (food assistance/food stamps) and other government assistance programs over the phone. Complete this form if you would like to be contacted about applying for SNAP or would like more information.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Income Guidelines To Receive SNAP

    Captionless Image
    This is a required question

    If this form is being completed by a Foodbank Member Agency, please complete the information below.

    This is a required question
    This is a required question
    This is a required question
    This is a required question