2027 Pantry Application

Pantry Application

Caplan-Bensley Foundation grant program
The Caplan-Bensley Foundation (CBF) is expanding its Jazzy’s Place Dog Food Initiative and invites your food pantry to apply for this free dog food grant. This grant will provide your agency with funding at the Food Bank to offset the shared-maintenance costs associated with ordering dog food for your pantry.

This funding will be put on account with your food bank as a “pool” which will apply to any fees associated with ordering dog food from inventory. The grant will be eligible for renewal by the Foundation on an annual basis.

Pantries interested in participating need to complete the information below and submit by December 18th.

For more information on Jazzy’s Place Dog Food Initiative please visit www.caplanbensley.org
Choose your Food Bank from the dropdown list, confirm or correct information below:
Autocomplete All Fields
Are You a New Applicant or Existing Jazzy's Place Dog Food Grant Recipient?
Food Bank Name
Choose your Food Bank from the drop down list, and confirm information
Coordinator Name
Coordinator Phone
Please enter a valid phone number.Format: (000) 000-0000.
Coordinator Email
example@example.com
Food Bank Address
Choose your Food Bank from the drop down list, and confirm information
Food Bank City
Food Bank State
Food Bank Zip Code
Agency Name
Agency Number
Pantry Address

Street Address

Street Address Line 2

CityState

Zip Code
Full Name
Title
Phone
Format: (000) 000-0000.
Email Address
example@example.com
Number of households served annually by your Food Pantry.
Number of households receiving dog food from your pantry?
Pounds of dog food received from your food bank this year?
Pounds of dog food expected to be taken by clients next year?
Shared Maintenance Fees (eg. 0.12 cents per pound):
Enter 0 if your food bank does not have shared maintenance
I understand the Jazzy’s Place grant can only be used to offset the shared-maintenance costs of dog food acquired by member partner food pantries. These grants cannot be used for any direct or outside purchases of human or dog food.
Print Name
Title
Type Name as Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please complete all information in the form above and review for accuracy. Click the button below to proceed to officially sign and submit your Pantry Application.
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