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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 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
Unhoused
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.

Personal Consent Form

Disclaimer


Food Banks Canada is the only national charitable organization dedicated

to helping Canadians living with hunger. We have a network of affiliated food banks and partners across Canada, which includes Provincial Associations and more than 650 food banks. Food Banks Canada is committed to protecting the privacy and the personal information of its

network, donors, employees, beneficiaries, and other stakeholders. Food Banks Canada values the trust of those we deal with, and of the public, and recognizes that maintaining this trust requires that we be transparent and accountable in how we treat the personal information that you may

choose to share with us.


Your local food bank collects and uses your personal information to manage programs, assess your eligibility for support, understand the needs of those they serve and improve services. This personal

information may be shared with other agencies including Food Banks Canada and Link2Feed to provide more complete support, conduct research, eliminate duplication of efforts, or fulfil commitments to those who fund programs. Both Food Banks Canada and your local food bank obey strict standards of confidentiality when collecting, using and sharing or disclosing your personal information. If you have any questions or concerns about the privacy of your personal information, please contact your local food bank and/or Food Banks Canada.


Please know that:


  • You have the right to receive a copy of the information about you that is stored in your local food bank's Client Management System and/or Food Banks Canada's Link2Feed Client Intake software.

  • You have the right to correct mistakes in information about you.

  • Your information may be transferred to servers in other Provinces and outside of Canada.

  • Our resources and ability to serve your community depend in part on the information provided by our clients.


I have read and understood the information above and by signing this document I agree that my local food bank may collect, use and disclose my personal information for the purposes mentioned above. I also agree that my personal information will be entered into the Food Banks Canada's

Link2Feed Client Intake software and may be entered into my local food bank's CMS.


In applying for assistance from my local food bank on behalf of my household, and sharing information about my family members, I confirm that I am sharing this information with the knowledge and permission of all household members age 18 and over (AB, SK, MB, ON, PE, QC) or

age 19 and over (BC, NT, NU, YT, NB, NL, NS).


If you have questions, concerns or a complaint about how a staff member, intern or volunteer is

handling your personal information, and you cannot resolve you

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