Food Pantry Survery

Food Pantry Survery

Please complete this survey if your parish, mission, school or campus center has a food pantry. The * indicates a required field.

It is not necessary to complete this form if only occasional food drives containing nonperishable goods for other organizations are held.

For questions, contact Holly Orsagh at horsagh@archatl.com or 404-920-7906.

Name of Parish, Mission, School, Campus Center*

Select or enter value

Food Pantry Name

Optional field

Partnerships/Affiliations*

Our food pantry is operated by the parish/school and is affiliated/partners with another organization.

Our food pantry is operated by the parish/school and does NOT affiliate/partner with another organization.

The food pantry on our campus is operated separately by another organization (for example, St Vincent de Paul Society).

Name of Program

Food Pantry Offerings*

Select all that apply. If a separate organization operates the food pantry on your campus and you are unsure of the answer, please select Unsure and provide the name and contact information for the organization in the fields below.

Canned Goods - such as canned vegetables, beans, meat (tuna, ham)

Dry Goods - such as pantry staples like pasta, rice, dried beans, etc...

Shelf- stabled Items - such as milk that does not require refrigeration

Boxed meals - complete, shelf stable meal kits

Fresh produce

Fresh Meat

Fresh Dairy

Hot Meals

Other items - such as toiletries, diapers, pet food

Unsure

Refrigeration/Freezer*

Does your food panty have a refrigerator and/or freezer?

If a separate organization operates the food pantry on your campus, and you are unsure of the answer, please select Unsure and provide the name and contact information for the organization in the fields below.

Refrigerator

Freezer

Neither refrigerator or freezer

Unsure

Food Pantry Building*

The food pantry is in a stand alone building on campus.

The food pantry is not in a stand alone building on campus.

Person responsible for food pantry*

Email of person responsible for food pantry*

Phone # of person responsible food pantry

Comments

Name of person completing this survey*

Email of person completing this survey*

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