Neighbors Helping Neighbors Food Support Registration

In the Upper Arlington tradition of neighbors helping neighbors when a need arises, several community organizations have joined together to help bridge the gap for families facing a temporary loss in Supplemental Nutrition Assistance Program (SNAP) funding.
Thanks to an initial grant through the Upper Arlington Foundation’s Good Neighbor Fund, which has been supplemented by generous contributions from the community, $100 grocery store gift cards are being issued to Upper Arlington residents who are enrolled in SNAP.
A first round of grocery store gift card distribution took place on November 6. Next steps will be announced soon about the availability of additional grocery store gift cards and pickup dates.
Please complete this form to pre-register to receive a grocery store gift card. Be sure to include your contact information so that we can provide you with updates on resources and available assistance. If you already registered, there is no need to sign up again.
Once you have accepted the Terms and Conditions for using our GIS map, you will see a map showing Upper Arlington’s boundaries. Just type your street address into the search window at the top left, then select the option with your zip code, and the tool will zoom into your home’s location.
1.First Name
2.Last Name
3.Address
4.Zip Code
5.Telephone Number
6.Email
7.Number of people in your household (please note, it may be necessary to limit the number of grocery store gift cards to one per household):
8.Are there any children in the household who are attending an Upper Arlington School?
9.Please indicate which of the following options you would like the grocery store gift card to be for (select one):
10.Please indicate your availability for receiving a grocery store gift card: