Plenty · Home Delivery Application

Are you a Floyd County Resident?

*

We are only able to serve Floyd County residents. If you are not a resident, please refer to the NRV Food Assistance Directory for more information on resources in your county: https://cfnrv.org/wp-content/uploads/2023-24-NRV-Thrive-Food-Assistance-Directory_5123_web.pdf

Yes

No

Contact Information

Name

First Name

Last Name

Email

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Household size:

Number of people in household, including children.

List the first and last names of each individual in the household who is 18 years and older.

Application Criteria

Does anyone in household have access to transportation?

Yes

No

Is anyone in the household a veteran of the U.S. Military?

Yes

No

Are you 65 years of age or older?

Yes

No

Are you disabled?

Yes

No

Deliveries are made on Wednesdays. Do you agree to be home to accept delivery?

Yes

No

Have you ever been a patron of Plenty!?

A patron of Plenty! is any person who has received groceries through a Plenty! program including through our regular Pantry where you submit their name and address to receive groceries (Monday 1-4pm, Tuesday 10-1pm, Thursday 4-6:30pm).

Yes

No

How did you hear about the home delivery program?

Please explain in your own words why you need home delivery.

Attention Applicants:

False statements will result in removal in consideration and/or termination from the Home Delivery program