Free, healthy food is available

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We look forward to helping you apply for free, healthy food programs. Complete the form below and a friendly Food Connection specialist will contact you within 2 business days.

If you need food immediately, please call 1-800-984-3663 Mon-Fri 8AM-5PM or 2-1-1 after hours. Visit shfb.org for more information.

First Name

Middle Name

Last Name

Phone Number (Mobile Number Preferred)

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Can we text you?

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Best time to reach you

Available Monday-Friday 8AM-5PM

Preferred Language

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Address

Street

City

State

Zip Code

Is there anything else you want us to know about your situation?

Student ID

How did you hear about this program?

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CalFresh

Free Groceries

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By checking this box, I consent to Second Harvest's storage of this data.

We’re committed to your privacy. The information you provide in this form will be stored electronically by Second Harvest of Silicon Valley so that we can contact you and provide you with services. Your personal information will be kept confidential and will only be shared for the purpose of providing you with requested services. Learn more by visiting our Privacy Policy *To get help finding free food resources without having your information stored by Second Harvest, or if you have any questions, please call us at 1-800-984-3663, Monday – Friday 8am – 5pm.

I authorize Partner Name (as listed below) to connect me with Second Harvest of Silicon Valley for resources. This may include sharing of my protected health information. I give Second Harvest of Silicon Valley permission to store my information electronically and to contact me by phone and/or text message if I checked “yes” above. I understand that Second Harvest will keep my personal information confidential and will only share information (including, but not limited to, status of the referral and other details) for the purpose of providing requested services. Learn more by visiting our Privacy Policy *

To get help finding free food resources without having your information stored by Second Harvest, or if you have any questions, please call us at 1-800-984-3663, Monday – Friday 8am – 5pm.

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