Minnie's Food Pantry Logo
If you have been impacted by the Texas Winter Storms, Minnie's Food Pantry is here to help! Please answer ALL questions below and someone from our team will contact you!
First Name
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Last Name
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Mobile Number
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Email
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Address
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City
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State
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Your State
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Zip
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Gender
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Select Option
Male
Female
Other
What County Do You Live In?
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Select Option
Collin
Dallas
Tarrant
Denton
Ellis
Fannin
Grayson
Hunt
Kaufman
Navarro
Rockwall
Was your household affected by the recent storm?
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Select Option
Yes
No-STOP! You are not eligible for assistance
What is your preferred language?
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Select Option
English
Spanish
Do you rent or own your home?
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Select Option
Own
Rent
How Many People In Your Household?
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Select Option
1
2
3
4
5
6
7
8
9
10+
What ethnicity do you identify with?
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Select Option
White
Black/African American
American Indian or Alaskan Native
Pacific Islander
Asian
Hispanic or Latino
Other
Household with children under 18?
Living in unsafe conditions?
Household is displaced?
Damage to residence?
Household with senior citizens?
Basic urgent needs (food, water or shelter)
Household experienced loss of income?
Still impacted by COVID?
Do you have immediate needs? (If yes, please check all that apply below)
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Select Option
Yes
No
Home Repairs
Temporary Housing
Food
Water
Clothing
Toiletries
Diapers/Wet Wipes
Other (please specify):
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Tell us your story and how you were impacted!
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255 character limit
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/ 255
By submitting this application for assistance you acknowledge that Minnie’s Food Pantry receives hundreds of applications a day and will make every effort to meet the needs of those that apply but assistance is not guaranteed.
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