Food Assistance Request Form

Please complete the form below to request assistance from the JCC Elevation Market Food Pantry.

Packages can be picked up in front of the Wilson Building during your appointment time.
Please remain in your vehicle and an employee will assist you.
You will only be asked to show your student ID card to staff on pick-up to confirm eligibility.

Request Form

Select food related items you are requesting

Select hygiene related items you are requesting