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Regular Hamper

Our Regular Hamper Program is designed to assist families facing food insecurity.  The Program also facilitates our donors and sponsors in directing their generosity to those most vulnerable.

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In order to qualify for a Regular Hamper, you must book an appointment with us.  For your first two hampers, we require the following information:

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  • Identification for all household members (Drivers License, Alberta Health Care, Passport, Birth Certificate, Immigration papers)

  • Proof of Chestermere area address

  • Names, gender and birthdates of all family members

  • Contact email and phone number

  • If you require pet food

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Our Client Care volunteer will get back to you to book the appointment. We distribute hampers Mondays, Tuesdays and Thursdays between 10 am and noon. Please give us a call at 403-273-0777 if you have any questions.

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At this appointment we will also be asking questions with respect to diversity and inclusion.  You will be asked food specific questions on your food preferences to give us an understanding on which foods are inappropriate for religious, cultural or ethnic reasons as well as give us an understanding on which foods are staples for religious, cultural or ethnic reasons.  YOUR NAME WILL NOT BE USED AND YOU WILL NOT BE IDENTIFIED UNDER ANY CIRCUMSTANCES.

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Regular Hampers are available to a maximum of 6 times per year with a 30 day interval between hampers.  If you have been previously approved by us and have already provided the above information, a qualification appointment is not necessary and your next appointment will be booked simply through an email request.  IF THIS IS YOUR THIRD REQUEST, PLEASE FILL OUT THE FOLLOWING FORM. We will require your last three months bank statements for all accounts or your most recent tax return along with personal information such as income and basic expenses (which includes government/income supports, rent, mortgage, utilities, insurance, vehicle expenses, childcare, medical), proof of residence, proof of family members and birthdates (Alberta Health Care, Drivers License, Birth Certificate, Passport, Immigration papers). THIS INFORMATION WILL BE STRICTLY CONFIDENTIAL BETWEEN YOU AND OUR CLIENT CARE COORDINATOR unless you agree to share the information with other service providers.

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Please note you will be required to sign a Personal Consent Form as it is required by Food Bank’s Canada for statistical purposes.

Multi-line address
Martial Status
Single
Married
Common Law
Separated
Divorced
Widowed
Prefer Not to Answer
Other
Housing Type
Own
Rental
Living with Family/Friends
Social Housing
Rooming Housing
Emergency Shelter
On the Street
Band Owned
Group Home/Youth Shelter
Other
Do you have a disability?
Yes
No
Have you been in Canada for less than 10 years?
Yes
No
Are you currently a Post Secondary Student?
Yes
No
Highest Level of Education Completed?
Grade 0-8
Grade 9-11
Grade 12
Some Post Secondary
Trade Certificate/Profession Accreditation
College Diploma
University Diploma
Bachelor's Degree
Master's Degree
PhD
Other
Do you own or operate your own business?
Yes
No
What is your Primary source of income?
Full Time Employment
Part Time Employment
Employment Insurance (EI)
Child Tax Credit
Child Support
Canada Pension
Old Age Security
AISH
Disability Benefits
Self Employment Income
Student Loan
No Income
Other
Select all other sources of Income.

Please list all members of your household including their name, birthdate, gender, disabilities, and dietary concerns.

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