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

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* 2. What type of organization are you?

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* 3. Charity or Business Number (if applicable)

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* 4. Are you a faith-based organization?

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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?

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

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

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* 9. What is the age of primary client?

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* 10. Is your primary client?

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* 12. Source of Income

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

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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:

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

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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?

Thank you for your application.

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