Village Trust 2024

The Village Community Trust application for a food parcel.
Important please read before continuing:

Our foodbank is here to support families or individuals who are experiencing financial hardship and are in NEED of food assistance. If you fall into this category, please proceed with applying for a food parcel. If you do not, we recommend that you seek budgeting support. We will NOT supply food if you are just wanting free food or to top up your pantry. Please do not be offended if we ask for proof of why you are in need of a food parcel.
PICK UP ONLY FROM AVONDALE: WE DO NOT DO DELIVERIES

REMINDER -MUST Bring ID and a current proof of address. Please remember your time & date, your application will be reviewed, an email will be sent out to confirm your appointment. If by any reason you can't make your appt please contact us to let us know on 09 826 5427 or text 021845535. One parcel per household per month. Our opening hours are Tuesdays, Thursdays and Fridays only. From 10.30am - 2pm.
If you're filling up form for someone else:

Please use their details, and provide their ID and proof of address.
Name (name on ID)*

First NameLast Name
Identification - you MUST provide on pick up. *
Select an ID type
ID number *
Address: You MUST provide proof on pick up. Must be valid in the last 6 months*

Number and Street Name (if youre in a Unit or apartment please add Unit number)

Suburb

City

Postal / Zip Code
Phone Number*
Gender*

MaleFemaleOther
Ethnicity: What is your nationality?*

SamoanTonganCook IslandNiueanFijiantokelauTuvaluKiribatiVanuatuSolomon IsTahitiPNGMaoriNZ European or EuropeanChineseFilipinoKoreanIndianMiddle EasternAfricanChile, Brazil, Argentina
Date of birth*

DayMonthYear
Date
How many people is this food parcel for?*
How many Adults? over 18 +*
How many children? 17 and under*
Are there any family members with disabilities or with chronic or long term illness? If yes, provide details. *
Email - please make sure its a valid email as this will be your main form of contact*
example@example.com
Employment Status*

EmployedWINZ - Please see next question.Unemployed & not entitled to a benefit.RetiredStudentACC
If you selected WINZ, Have you used your food entitlements?

YesNo
Reason you need support? if other please specify below*

Job lossunable to pay current billsSingle parent on single incomeReduced HoursLong Term IllnessUnforeseen Hardship
Please explain your reason for requesting a food parcel. Be as detailed as possible so we can better understand your situation.*
Are you currently registered with a Whanau Ora provider? If yes, provide details. *
How did you hear about us*

Web SearchSocial WorkerSocial MediaWord of mouthReferred from WinzOther
Have you had a parcel from us since February 2024?*

YesNo
If you have selected Yes, you will be asked to provide proof of need and a budget plan.
Additional Items

If you require nappies or sanitary items or pet food please ask on arrival. We can provide IF available.
Pick the time for your food parcel pick up. *pls do not be late.*
All applications will be reviewed, you will receive a confirmation email.

Repeat requests will require you to complete a budget, and provide us with more details on your current situation. Fail to do so will result in your application being denied.

We reserve the right to not serve clients who are ABUSIVE or who abuse our systems.

DONT FORGET YOU MUST BRING YOUR ID AND A CURRENT PROOF OF ADDRESS
I understand by clicking submit that any personal information regarding myself and any member of my family will remain confidential, private and secure.
Should be Empty:

The Village Community Trust application for a food parcel.

Important please read before continuing:

PICK UP ONLY FROM AVONDALE: WE DO NOT DO DELIVERIES

If you're filling up form for someone else: