Northumberland EATS - Essential Grocery Gift Cards/Food Hampers for Clients

United Way Northumberland is committed to moving people from poverty to possibility. The traditional Northumberland EATS food voucher program ended but there have been multiple requests to bring back some additional supports to clients who are facing food insecurity.

We have developed a new grocery card/purchase of food hamper program that you can apply for on behalf of your clients. The grocery card/food hamper purchase is maximum $25.00 for a single person and $50.00 for a family.

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* 1. Organization Information

Organizational Name:

Address:

Contact Name:

Phone:

E-mail:

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* 2. What type of organization are you?

A charity

Not for profit

Municipality

Unincorporated/Grassroots

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* 3. Charity or Business Number (if applicable)

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* 4. Are you a faith-based organization?

Yes

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* 5. Please provide your organization's mission statement and a summary of your programs here so we can better understand your organization.

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* 6. Are you a living wage employer?

Yes

Not applicable

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* 7. Do you have current DEI policies and/or procedures?

Yes

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* 8. Do you provide bilingual service? (This is just to help us understand if you serve clients who speak French)

Yes

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* 9. What is the age of primary client?

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* 10. Is your primary client?

Male

Female

Non-binary

Other

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* 11. What is the municipality your client lives in?

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* 12. Source of Income

Employed

Self-employed

Receiving Social Assistance (ODSP)

Retired

None

Other (please specify)

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* 13. Is the primary client receiving support from Northumberland County Social Services?

Yes

Unknown

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* 14. If you are requesting a grocery gift card/hamper for a family, please note the ages of the other family members.

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* 15. Please let us know if the client you are applying for falls into any of the categories below:

Indigenous Peoples

Immigrants

Refugee/Refugee Claimants

LGBTQS+

Persons with disabilities

Racialized Communities

Women/Girls

Veteran

Not applicable

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* 16. Are you applying for a voucher/food hamper for:

Single Person ($25.00)

Family ($50.00)

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* 17. This is the replacement for the Northumberland EATS food program and will be extremely competitive. This is a one-time support, if your client is not selected, do you wish to have this application stand for the next quarter review or in the case that more monies are made available?

Yes

Thank you for your application.