CalFresh Pre-Screening Eligibility Form

Dit bestand kan niet worden geopend, omdat JavaScript niet aanstaat in je browser. Zet JavaScript aan en laad het bestand opnieuw.

CalFresh, also known as the Supplemental Nutrition Assistance Program (SNAP), is a nutrition assistance program that helps individuals and families afford the food they need. If approved, CalFresh can be used to buy fresh groceries at grocery stores, convenience stores, and farmers markets.

This form will take less than 5 minutes to complete.

After completing this prescreen, one of our staff members will contact you within 1- 2 business days with next steps. If you have any questions, contact our team at calfresh@csueastbay.edu

First Name *

Last Name *

NetID *

Email Address *

Please submit the email you check the most frequently.

What county do you live in? *

How did you hear about us? *

Advisor or Professor

Class Presentation

Email or Portal Mesage

Friend

Flyer / QR Code

Outreach Event

Website

Social Media

Anders:

Verplicht

Formulier wissen

Verzend nooit wachtwoorden via Google Formulieren.

Dit formulier is gemaakt in Cal State East Bay. Misbruik rapporteren

Formulieren