The Central Pennsylvania Food Bank will use the information you provide in this form to submit an application to the PA Department of Human Services (DHS) on your behalf. However, BEFORE we can submit it to DHS, we will most likely need to speak with you.
By filling out this form, you give consent to and authorize the collection of information for a food stamps (SNAP) application by the Central Pennsylvania Food Bank. This information will be included in the COMPASS SNAP application and shall be used by the Food Bank, the PA Department of Human Services, and your local County Assistance Office. Your information is confidential and WILL NOT be shared with additional parties.