May 16th: Evergreen Valley College Food Distribution

Please note: In accordance with Federal law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. The Evergreen Valley College & Second Harvest Food Distribution will take place the FIRST and THIRD Friday of the month between 9:30 am-11:00 am inside of EVC Parking Lot 1. This form MUST be completed for every food distribution in which you wish to receive items. PLEASE NOTE: All individuals arriving at the EVC campus MUST wear a face mask. By submitting this form you self declare that: 1. Your name and address listed is correct, if homeless, you can put homeless as an address. 2. Your household size as stated and resides within the state and organization's service area. 3. Your income is within 235% of the Federal Poverty Guidelines as posted for this distribution. 4. You agree that TEFAP food is for home consumption only and will not be sold, traded, or bartered. 5. You have been shown and have read the full USDA Nondiscrimination Statement: https://www.fns.usda.gov/usda-nondiscrimination-statement Remember, You will not be denied TEFAP food if you refuse to disclose any information that is not a requirement of TEFAP. You will never need to provide your social security number or proof of income. Questions or concerns? Email mailto:[email protected]. Vietnamese translation available upon request.