Get Help

If You Need Help

Please complete and submit the Food Assistance Application. Canfield Rotary will review your application and respond within 3 to 5 days. If qualified, you will receive a phone call notifying you to expect delivery of food vouchers for a local grocery store.

Click Here To Download The Application

To apply, either download and drop off the form above, or fill out the online form below. Alternately, printed applications are available for pickup at Canfield Fire Station #2 on Herbert Road. They are outside in the information box by the application drop off point.

Food Help Application for Canfield City and Township Residents

Name *
Address *
City *
State *
Zip *
Home Phone Number
Cell Phone Number
Birthdate
Email
Employer Name (Current or Most Recent)
Employer Address
Employer Contact Person
Work Status Laid OffFurloughedReduction of HoursOther
AVAILABLE FINANCIAL RESOURCES (I.E. SNAP, UNEMPLOYMENT):
No. of Occupants At Home:
Adults Children Ages
HOW HAS COVID-19 AFFECTED YOU? (PLEASE DESCRIBE)

APPLICATIONS WILL BE REVIEWED WITHIN 3 TO 5 DAYS. YOU WILL BE NOTIFIED BY PHONE IF YOU QUALIFY FOR ASSISTANCE.

ALL INFORMATION WILL BE HELD STRICTLY CONFIDENTIAL BY CANFIELD ROTARY.

FOR QUESTIONS, CALL 330-720-2672 BETWEEN THE HOURS OF 10AM AND 2PM OR VISIT WWW.CANFIELDROTARYCOVID.COM

To apply, either download and drop off the form above, or fill out the online form below. Alternately, printed applications are available for pickup at Canfield Fire Station #2 on Herbert Road. They are outside in the information box by the application drop off point.

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