Owens Harvest Food Pantry Intake Form


Please complete this form in its entirety. All information will be kept confidential. Only demographic data is shared with our food bank sponsor, Toledo Seagate Food Bank.

Upon completion of this form, you will receive a list of all items offered in the pantry at the present time. Please email us at connections@owens.edu and indicate the number of each item you would prefer and we will prepare the order for you to pick up at a scheduled time and day. Please note that items are limited and may run out before we can update that list. We will do our very best to keep up with it and accommodate your needs.

* Required