New Resident Registration - Central Okanagan Food Bank

First Name

Last Name

Preferred Name (if different)

Date of birth

Gender (for statistical purposes only)

Marital Status

Address - Street

Unit Number

Province

Postal Code

Name of Agency/Residence

Email

Telephone

Identification File

Maximum file size: 10.49MB

Spoken Language(s)

Ethnicity (For statistical purposes only)

Do you identify as a person with a disability?

Have you been in Canada less than 10 years? Have you been in Canada less than 10 years?

What is your primary reason for visiting the Central Okanagan Food Bank? What is your primary reason for visiting the Central Okanagan Food Bank?

Highest education level completed:

Country of Education:

What is your primary source of income?

Do you have any dietary considerations or allergies?

Please attach any relevant medical documents here

Maximum file size: 10.49MB

As a Member of Food Banks Canada, the Central Okanagan Food Bank stores and shares certain data for the purpose of advocating to reduce food insecurity across Canada. COFB will not share any personal or identifying information with Food Banks Canada, or any other agency.