Shelf Stable Food Boxes: Interest Questionnaire
The Connecticut Department of Agriculture, in partnership with The Salvation Army Southern New England Division, CT National Guard, CT Department of Social Services, and FEMA have assumed approximately 30,000 food boxes.

Each box is approx. 22 lbs. of nonperishable food.  The contents vary but include items such as rice and beans, dehydrated milk, mac and cheese, and other canned goods.

Organizations can order by whole pallets only (64 boxes to a pallet). The pallets are sized 4 x 4. A ONE TIME DELIVERY for the total boxes requested will be delivered. Multiple trailers can be requested as long as you have storage space.

Organizations not affiliated with a larger food bank network and organizations who can act as a 'regional' food hub to a network of smaller organizations may be given priority.

Please complete this questionnaire to request delivery of shelf stable food boxes for your organization, or a group of organizations. *Requests must be submitted by Wednesday June 9th, 2021. *

 **Please be aware that filling out this form does not guarantee delivery and that this is just a preliminary expression of interest; you will be contacted for more information prior to a schedule being determined.**

Please direct any questions to Cyrena Thibodeau at Cyrena.Thibodeau@ct.gov or 860-895-3094.

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Organization *
Person of Contact: Name *
Person of Contact: Email *
Person of Contact: Mobile Phone *
Website if applicable
Are you a member of Food Bank or FoodShare? *
Full Delivery Address *
What is the largest sized vehicle the space can accommodate? For example: Do you have a small parking lot that only a 16 ft box truck can fit in vs. do you have space for a 48 ft truck to pull into? *
What unloading equipment does the organization have? Please select all that are applicable *
Required
Will a 4 x 4 pallet fit through your doorway/entrance to storage space? *
How do you plan to distribute the boxes? You can select both options. *
Required
If you will be distributing to individuals within your pantry network, can you please provide a brief overview of the population you serve and your distribution method?
If you will be distributing to pantries in your service area, please provide a list of those groups to the best of your ability and indicate if you have delivery capacity or will require pickup.
How many pallets would you like to request? *Each pallet is 64 boxes. Please be mindful to only request the amount of pallets you have space to store (each pallet is 4 x 4). A full 48' trailer is 26 pallets and a full 26' box truck is 11-12 pallets. Multiple trailers can be requested if you have the storage space. *
Which week(s) COULD you accept a delivery?  You can select multiple weeks but the requested number of pallets will arrive in ONE DELIVERY. *
Required
Please select if there are any days of the week you CANNOT receive deliveries *
Required
Please share any questions or comments.
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