Your first and last name

Your street address

City

Postal Code

Your date of birth

Telephone number

Total number of people in your household

Names and dates of birth for ALL household members

Your email address

Please indicate your housing status. This information is used for statistical purposes only.

Own
Rent
Subsidized Housing
Shared Space
Emergency Shelter/Group Home
Homeless

Please indicate source(s) of income.

Employment - full or part time
EI
CERB
Ontario Works
ODSP
Pension(s)
Child Support
Child Tax Benefit

Please list ALL source of income amounts you receive per month. This includes EI, Ontario Works, Pension, Disability, Child Support and any other income.

User Agreement

By continuing, you agree to provide the following documentation on your first visit to St. Paul's on-the-Hill Community Food Bank. 
We reserve the right to deny service until the required documents have been submitted to an authorized representative of the Food Bank.

PLEASE BRING WITH YOU:
  - Proof of address 
  - Valid identification of Applicant
  - 2021 Tax Assessment 
  - Valid identification of all other household members

User Agreement

By continuing, I am giving consent to an authorized representative of St. Paul's on-the-Hill Community Food Bank to collect, disclose and use my personal information for the purpose of (i) ensuring the accuracy of the information received on the Application Form is warranted, (ii) allowing St. Paul's on-the-Hill Community Food Bank to assess how my needs may be met and determine whether assistance is warranted, and (iii) allowing St. Paul's on-the-Hill Community Food Bank to use and share my personal information with other service agencies in order to ascertain, record and determine whether assistance has been or will be obtained. I am confirming all information entered is correct.
We are legally obligated to report any misuse of identification.