Meal & Food Provider Form for HSI Shelters
Please fill out this form to the best of your ability. Estimations are entirely okay! This data allows us to receive grants and funding that help us serve hundreds of families in East County. Your service and your contribution to this survey is deeply felt and appreciated by all of us at Human Solutions Inc. Thank you so much.
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Name *
Email Address *
Address
Place of work/ Organization *
If Meal Provision: Date of Meal
MM
/
DD
/
YYYY
Shelter
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If Meal Provision: Total Number of Volunteers (cooking & serving)?
If Meal Provision: Total Number of Volunteer Hours (i.e. 10 volunteers @ 5 hours cooking/3 hours serving = 80 hrs)
Did you supply / donate food and/or groceries? *
Good-Faith Estimation of Grocery/Meal Value (i.e. $250)
Are you a regular provider (more than 3x a year?)
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If you are not already, would you like to be added to our Volunteer & Donation Email List? (One Email per Month)
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