Working together to build and sustain
hunger-free communities
throughout the Southern Tier.

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Agency Renewal Forms


Itís time to renew your partnership with the Food Bank of the Southern Tier.  For your convenience, we are pleased to inform you that we are accepting all forms electronically!  Simply download the forms from our website, fill them out and save them to your computer.
Acceptable signatures on agreements are

     1. Scanned copy of  the personís signature OR
     2. The personís name typed on the form (If someone types a signature on behalf of the executive director, it must be done with the executive directorís expressed permission. The typed signature of another person must be followed by first and last name initials of the person typing.) 


You will then attach each form into an email and send them back to me.  The annual Partner Agency fee of $35 will need to be mailed to the FBST separately. 


If you do not have the capabilities to access the forms, please call Vickie Steck at 607-796-6061, ext. 4016 or email .

HPNAP Operations Support- Capital Equipment documentation


Agencies that received funding for Capital Equipment must return a copy of the vendor invoice or receipt AND cancelled check or other proof of payment for each equipment item purchased to the Food Bank by December 31, 2015.


Agencies that received funding for Operations Support (Space, Staff, or Utilities) must return the following by January 15, 2016:



All: Completed Staff Funding Cover Sheet that came with your award letter. Also available online.
Paid Staff: A copy of the payroll register OR pay stubs OR  W-2 form.

Volunteers: Log sheet showing hours worked signed by supervisor.



Completed Utilities Funding Cover Sheet that came with your award letter. Also available online.
Copy of utility bill
AND copies of cancelled checks showing payment to energy vendor OR a copy of bank statement reflecting payment.




Completed Space Funding Cover Sheet that came with your award letter. Also available online.
Copies of canceled checks for payment of rent or lease.


Cover sheets can be accessed here:


2015 Turkey Letter and Request Form
(posted August 28, 2015)

What all of you have been waiting for, Turkey Time!


Below you will find the 2015 Turkey Letter and request form. Please read through thoroughly, as there are changes from last year.

Simply print the form, fill it out with your request and return it to Vickie Steck by mail, email or fax 607.796.6028.

new change for this year is that we have opened the request to Pantries, Shelters and Kitchens.

Forms are due back no later than September 11th. If forms are not received or postmarked by September 11th, and alternate arrangements have not been made, your agency will not be eligible to receive turkeys.

Click here to download the 2015 Turkey Letter and Request Form.

Please contact Vickie Steck with any questions or concerns at or 796.6061 x4016

2015-2016 HPNAP Food Grant Application

(posted May 19, 2015)


The 2015-2016 HPNAP Food Grant Application is now available. The applications is due at the Food Bank no later than June 19, 2015.  If your application is not received by the due date, your agency will be ineligible to receive any grant funds for the 2015-2016 year. 


This year we will be offering Agency Goal Setting. This will allow each agency to set goals for themselves and to increase their agency capacity. The goal setting period will be from July 1, 2015 through June 30, 2016. This activity is voluntary and will not impact your 2015-2016 HPNAP Food Grant. However, the Food Bank may make incentives available to participating agencies that meet or exceed their expected goals, including extra funds. In addition, agency achievements may be included in criteria for determining agencies 2016-2017 food grant.


There are two options for submitting your grant application:

1. Follow the link below to the 2015-2016 HPNAP Food Grant. Itís the same as last year. Fill it out and then click submit. We recommend that you call and confirm your submission if you have not received confirmation within 2 business days. Click here to access the HPNAP Food Grant online.

2. If you would prefer to fill out the form and return to me, click on the link for the printable form:
2015-2016  Food Grant Application.

Click the link to access the 2015-2016 Shelter Addendum: 
    2015-2016 Shelter Application.

Please contact Vickie Steck with any questions or concerns regarding the HPNAP Food Grant at
or 796.6061 x4016

HPNAP Operations Support-Capital Equipment Grant
(posted March 9, 2015)

2015-2016 Fiscal Year
Materials for the HPNAP Operations Support-Capital Equipment grant are now available. Please note the following changes and important reminders for this yearís application process:

         Applications are due to the Food Bank by Monday, May 18th at 4:00 p.m via post mail or hand delivery. Applications received after 4:00 p.m. on May 18th will not be considered for funding.

         Shelters no longer need to fill out a Shelter Addendum in addition to the application.

         All applications must have signatures on the cover page from two different people at the organization.

         Applications must be typed; hand-written applications will not be accepted.

         Applicants must provide nine copies of their application.

Click on the each link to access the application, instruction booklet, and application checklist.


All applicants are strongly encouraged to attend training at the countyís Hunger Coalition Meeting in March. Please view the Agency Calendar for details.


Please contact Lyndsey Lyman with any questions or concerns regarding the HPNAP OS-CE grant at  or 607.796.6061 x4017

HPNAP Operations Support-Capital Equipment Grant
(posted February 19, 2015)

2014-2015 Fiscal Year

The documentation for the second half of the current fiscal year (January 1, 2015 Ė June 30, 2015) will be due by August 1, 2015. Please be sure to include your cover sheet with your documentation and follow the instructions. You can access the cover sheets for Operations Support by clicking on the links below.

FY 14-15 2nd half utilities cover sheet

FY 14-15 2nd half space cover sheet

FY14-15 2nd half staff cover sheet

Additional Agency Forms

Monthly Stat Sheet for Pantries
Daily Distribution Log for Pantries
Refrigerator and Freezer Temperature Log

For more information contact: 
Vickie Steck, Agency Services & Programs Assistant
at 607.796.6061 x4016 or email

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388 Upper Oakwood Ave. | Elmira, NY 14903 | 607-796-6061 A regional agency of Catholic Charities and a member of Feeding America