CSL Family Food Connection Food Pantry 2026

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Please complete this form to sign up for food assistance.
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To help us serve as many households as possible, please sign up for one appointment slot per household. Households may receive food assistance up to two times per month.

If you miss your appointment, you will need to sign up for a new appointment.

This is a drive-up food pantry. Please arrive at your scheduled time and follow the posted signs or staff instructions when you arrive.

Before signing up, you must review the “Application for Receipt of USDA Food – FD-15A-Part 1” document below.

Appointments are available up to 21 days in advance. After signing up, please save your confirmation email and watch for a reminder email before your appointment.

CSL is an equal opportunity provider.
Name

First NameLast Name
County
Zip Code

Postal / Zip Code
Do you receive Public Assistance (PA) or Non Public Assistance (NPA)?
Information for Additional Assistance

The following sections are optional and will not impact your TEFAP service. Any information you choose to provide will only be used to improve our services to the community
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
How old are you?
Enter current age.
What is your gender?
What is your race?
How many children (18 and younger) are in your household? Please fill in 0 if not applicable.
How many adults (18-65 years old) are in your household? Please fill in 0 if not applicable.
How many senior adults (65 and older) are in your household? Please fill in 0 if not applicable.
Appointment Day/Time
By signing up, you confirm that you have reviewed and agree to the terms outlined in the “Application for Receipt of USDA Foods – FD-15A-Part 1.”
Should be Empty:

Information for Additional Assistance