Food Shelf Appointment Request Form

Ralph Reeder Food Shelf Appointment Request Form

This is a REQUEST ONLY - A Staff Member Will Reach Out For Confirmation
Ralph Reeder Food Shelf is a program of the Mounds View Public School District. Our food shelf primarily serves low income residents living within the Mounds View Public School District attendance area.

IMPORTANT: If you do NOT live within the Mounds View Public School District attendance area, you can find your closest food shelf by calling 651-291-0211.

The Ralph Reeder Food Shelf is located at 2544 Mounds View Blvd. Mounds View, MN 55112. Fill out the form below and a food shelf team member will reach out to you within 1-2 business days. (Providing this information is optional, if you prefer to not fill out this form, please call the food shelf to schedule an appointment: 651-621-6280).
I have children that attend a school in the Mounds View Public School District (District #621)*
Please select
Have you visited our food shelf before?*

YesNo
Head of House*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Apartment Number

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
My household income is 300% or less of the Federal Poverty Guidelines according to the following chart:*

YesNo

Income Eligibility (300% of Federal Poverty Guidelines)

Your income exceeds our guidelines, however if you are in crisis and need food, please call the food shelf to request an appointment: 651-621-6280.
If you have additional family members in your household who need food, please record their information below. If not, please click the next button at the bottom of the page.
Family Member

First NameLast Name
Birthdate

MonthDayYear
Date
Family Member

First NameLast Name
Birthdate

MonthDayYear
Date
Family Member

First NameLast Name
Birthdate

MonthDayYear
Date
Family Member

First NameLast Name
Birthdate

MonthDayYear
Date
Family Member

First NameLast Name
Birthdate

MonthDayYear
Date
Family Member

First NameLast Name
Birthdate

MonthDayYear
Date