Benton Methodist Food Pantry Application
Please fill out as much information as you have below to make your application process faster. We are a food pantry for Bossier Parish residents in Benton, LA. If you need to find the pantry nearest you, please contact the NWLA Food Bank at 318-675-2400. If you have extenuating circumstances, such as employment in Benton, LA and this pantry is more convenient for you or you need further information, please contact Rachel at 318-935-8515 before 2 PM Tuesday-Thursday. Distribution is on the 3rd Wednesday of each month except in December when it will be the 2nd Wednesday.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Phone
*
Please enter a valid phone number.
Email
example@example.com
Personal Information
Please enter your information
Date of Birth
*
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Month
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Day
Year
Date
Social Security Number
You can also give this in person at the church if you are uncomfortable filling this information out online.
Driver's License / ID Card Number
Must be a valid Louisiana license or ID Card
How do I qualify?
If you receive SNAP (food stamps) or SSI you automatically qualify, otherwise we go by monthly income. Please select the appropriate box below:
How do you qualify?
SNAP (Food Stamps)
SSI
Homeless/Not Working
Income
Other
If you selected income, please enter the total household monthly income.
Enter income
Family Information
Please enter information for each family member below
Name
Date of Birth
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Date
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Husband
Wife
Son
Daughter
Other
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Date of Birth
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Wife
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Submit
Should be Empty: