Food Stamp Outreach Pre-Application Form
Pre-application forms are now being accepted for the Fiscal Year that Begins October 2008. If your non-profit organization would like to be considered, please identify the status of your proposal:
Already Performing Food Stamp Outreach Activities
Requesting Funds for a New Food Stamp Outreach Project
Organization's Name
Address of Organization
City
Zip Code
Phone Number
Your Email Address
If you'd like to receive a copy of the information you are providing in this electronic form, enter your email address here.
For New Applicants:
Provide a few sentences describing your organization and the population that you serve.
For New Applicants:
Describe the Food Stamp Outreach Program For Which You Are Seeking Funding
For which activities is your organization seeking funding?
Distributing Outreach Materials
Pre-screening People For Food Stamp Eligibility
Answering Phone Calls From People Interested in Food Stamps
Assisting People to Apply For Food Stamps
Convening Meetings About Food Stamps
Convening Trainings for Other Non-profits About Food Stamps
Conducting Media Outreach About Food Stamps
Other
What non-federal sources of funding will your organization used for the match? Please note that match must not originate from any source of federal funding, including HUD, CDBG or CSBG.
Foundation Grant
Donations
Municipal (non-federal)
County (non-federal)
Membership Dues
Law Suit Settlement
Other
What are your target populations? Please note that you must have a gross income less than 135% of poverty to be eligible for food stamps.
Immigrants and Refugees
Elderly
Working Families
Homeless
Other
Where will you be conducting food stamp outreach?
soup kitchens
shelters
drug rehab facilities
food pantries
tax assistance centers
senior centers
senior brown bag sites
grocery stores
community fairs
outdoor food market
flea market
low-income housing sites
hotels
Mexican Consulate
place of employment
Head Start
WIC
over the phone
on your website
targeted media campaigns
Other
List the organizations you are partnering with