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Food Pantry


Please use this if you are a first-time Pirate Food Pantry applicant. Applications must be submitted at the beginning of each semester, regardless of previous visits.

Information collected from this application will not be shared in a way that will identify you. This information helps us report how often the food pantry is utilized and identify resources our students may need. If you have questions about this form, please contact the Pirates CARE Team at PiratesCare@pensacolastate.edu

 
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Tell Us About You:

Involved party 1

Additional Information

Are you employed?(Required)
You must make at least one selection.
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What type of housing do you currently have?(Required)
You must make at least one selection.
What is your military status?(Required)
You must make at least one selection.
Which benefit(s) do you or someone in your household receive?(Required)
You must make at least one selection.
Would you be interested in receiving additional information on how to apply for SNAP, TANF, WIC, or other federal benefits?(Required)
You must make at least one selection.
Do you need any additional services/support at this time? (mark all that apply)(Required)
You must make at least one selection.
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How did you hear about the Pirate Food Pantry?(Required)
You must make at least one selection.
Each food bag, prepared by Manna Food Bank and the Pirate Food Pantry is packed according to USDA Standards for a Healthy diet and contains 5-days’ worth of food (including fruit, vegetables, protein, and grains). Do you believe food provided by the pantry will improve the nutritional quality of your diet?(Required)
You must make at least one selection.
Upon receipt of your food bag, which of the following circumstances do you believe will improve, allowing you to remain committed to your education at Pensacola State College?(Required)
You must make at least one selection.
By submitting this form, I acknowledge receipt of free food from the PSC food pantry. I understand this is not a recurring obligation of the College. I further understand and agree that by accepting this donated food I freely and voluntarily, with full knowledge, hold harmless and in no way liable or responsible for the quality, condition, or packaging of food, the College, its officers, employees, students, donors, volunteers, and food supplier.(Required)
You must make at least one selection.

Submission