New Applicant Intake & Enrollment/Initial Box
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 met all eligibility requirements for the Food Pantry Program. The participant was issued a Food Pantry membership card, and the process for accessing recurring services was thoroughly explained. The participant's request for a food box was approved, and they were provided with the box. The pantry attendant also assisted the participant with unloading the box.
[Title] – [Name]
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