Artie's FIT Market Membership Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for reaching out to get food support from Artie's FIT Market! Please complete this membership form to become an Artie's FIT Market member.

As long as you are a currently enrolled student at Scottsdale Community College, there is no cost to you to participate in this program that provides food assistance to students experiencing food insecurity.

Please note, students must be enrolled in at least 1 credit hour in the semester for which membership is requested.

Once you complete the membership form, we will reach out to you with the next step and how you can get food assistance from the FIT Market.

We are currently offering limited pantry items for members (non-perishable food items and hygiene products).

Please contact artiesfitmarket@scottsdalecc.edu or 480-423-6590 for questions or concerns.

Please provide your first name. *

Please provide your last name. *

Please provide your Maricopa student email (MEID@maricopa.edu). *

Please provide the best cell phone number to contact you via text or call. *

Is this food support for an individual or a family? *

Individual

Family

If for a family, please indicate household members. PLEASE MARK ALL THAT APPLY. *

Adult

Children (7-18 years)

Children (0-6 years)

Required

How many children are in the family?

We currently have pantry resources (hygiene products, non-perishable food, etc.) for in-person pick up. Can you come on campus to pick up items? *

Yes

Maybe, but I do not always have reliable transportation

What types of resources are you interested in receiving? Choose all that apply. *

Resource Pantry items (hygiene products, non-perishable food items)

Food box delivery (not currently offered but you will be notified when it is available)

Bus pass

Required

I have access to.... (Choose all that apply) *

Stove Top

Oven

Microwave

Can Opener

Running Water

Required

Allergies (Choose all that apply)

Dairy (milk/milk products)

Nuts (list the nuts you are allergic to below in the "Other" option)

Eggs

Wheat

Fish/Seafood

Other:

Please list your dietary restrictions

How did you learn about Artie's FIT Market Pantry? *

SCC Social Media (Instagram, Facebook, Twitter)

SCC Email

SCC Newsletters (SCC Welcome Center, FOI Culture & Society)

Faculty recommendation (class syllabus, Canvas, office hours)

Staff or counseling recommendation

SCC website search/I found it on my own

Word of mouth (a friend shared it with me)

Daily John (bathroom announcement)

Flyer

Other- if none of the options apply, please indicate below how you learned about Artie's FIT Market Pantry

Required

If you chose "other" above, please indicate how you learned about Artie's FIT Market Pantry.

Thanks for completing your Artie's FIT Membership form! We will be in touch soon!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms