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New Applicant Intake - Outside of Service Area

Participant Name:

Date:

Household Size:

Monthly Income:

ID Type:


The participant applied for services and met with the Case Management team to conduct a needs assessment. During the meeting, the Case Manager reviewed available services and programs with the participant. It was determined that the participant did not met all eligibility requirements for the Food Pantry Program. Applicant does not reside in The HELP Center's service areas of 37208, 37209, 37207, 37218, and 37115. The participant was issued a list of additional pantries in Davidson County, and the process for accessing recurring services was thoroughly explained. The participant's request for a food box was not approved, and they were provided with a one-time courtesy box. No further assistance can be provided at this time.


CM - [Name]

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