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The S.H.I.N.E. program* was created to help eliminate hunger among Northwest employees and their household family members. The program provides food items at no charge when the need arises. This is done in a confidential, no-questions-asked manner.

Submitting an order is easy. Simply fill out the form below, select your preferred food items, and your order will be ready for pick up on Tuesday of the following week. You will be contacted regarding more information on picking up your order.

If you have any questions regarding the S.H.I.N.E. program, please contact Magen Fields at Magen.Fields@nwths.com.

*Program is intended for Northwest employees and Sodexo employees working at Northwest. Must have a Northwest badge to participate.

Question Title

What is your Employee ID Number?

Question Title

Which Northwest facility will you pick your order up from?

Main hospital

JO Wyatt/Women and Children's Clinic (you will be contacted regarding order pick up)

Question Title

If you are picking up at the main hospital, please choose a time to pick up your order. All orders will be picked up on Tuesday of the next week in the SHINE room in the education center at the Pavillion, unless other arrangements are made (must contact Magen).

8:00 am

4:00 pm

I will contact Magen.Fields@nwths.com so that I can pick up my order at a different time.

Question Title

Please provide your cell phone number so that we may contact you if questions arise. If you do not have a cell phone, please provide us with the best way to contact you (home phone number, email address, etc.).

Please provide information regarding your household size. This information will be used to determine the amount of each item you will receive.

Question Title

How many adults are in your household?

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How many children are in your household and what are their ages? Only list those that we will need to supply food for.

Please select your food items below. Each category has a maximum number of food items you can choose. Depending on your household size, you may receive multiples of some items.

Question Title

Proteins - only select up to FIVE items from this category

(A) Mexican Chili Beans (can)

(B) Pinto beans (can)

(D) Chicken (can)

(E) Tuna lunches (pop-top)

(F) Peanut butter

(G) Chili with beans (can)

(H) Beef ravioli (can)

(I) Chunky chicken soup (can)

(J) Chunky beef soup (can)

(K) Dehydrated beans w/ green chili

(L) Blackeye peas

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Vegetables - only select up to THREE items from this category

(M) Corn

(N) Green beans

(O) Spaghetti sauce

(P) Spaghetti noodles

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Milk and water - only select up to TWO items from this category

(R) White milk (non-perishable)

(AJ) Bottled water

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Fruit - only select up to THREE items from this category

(S) Mixed fruit cocktail

(T) Pineapple tidbits

(U) Mandarin oranges

(V) Peaches

(W) Juice

Question Title

Grains - only select up to FOUR items from this category

(X) Instant oatmeal (variety package)

(Y) Cereal

(Z) Rice (bag)

(AA) Beef ramen cup

(AB) Chicken ramen cup

(AC) Macaroni and cheese (box)

(AD) Saltine crackers

(AE) Pancake mix

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Snacks - only select up to TWO items from this category

(AF) Cheese crackers

(AG) Beef stick

(AH) Honey roasted peanuts

(AI) Kellog's nutrigrain bar

Question Title

Do you need a can opener?

Yes

Question Title

What is your Employee ID Number?

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Which Northwest facility will you pick your order up from?

Question Title

If you are picking up at the main hospital, please choose a time to pick up your order. All orders will be picked up on Tuesday of the next week in the SHINE room in the education center at the Pavillion, unless other arrangements are made (must contact Magen).

Question Title

Please provide your cell phone number so that we may contact you if questions arise. If you do not have a cell phone, please provide us with the best way to contact you (home phone number, email address, etc.).

Question Title

How many adults are in your household?

Question Title

How many children are in your household and what are their ages? Only list those that we will need to supply food for.

Question Title

Proteins - only select up to FIVE items from this category

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Vegetables - only select up to THREE items from this category

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Milk and water - only select up to TWO items from this category

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Fruit - only select up to THREE items from this category

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Grains - only select up to FOUR items from this category

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Snacks - only select up to TWO items from this category

Question Title

Do you need a can opener?

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If you have any questions, concerns, or recommendations please comment below.