Food Bank of the Southern Tier.
Because One Hungry Neighbor
Is ONE Too Many.

Soup Bowl


AGENCY FORMS


2014 Turkey Request Letter and Form
(posted September 4, 2014)

Completed forms are due at the Food Bank by Friday, September 26, 2014
For more information, please contact Vickie Steck at  or 607.796.6061 x4016
Click here to access the Turkey Request Letter and Form



2014-2015 HPNAP Food Grant Application Now Available
(posted May 21, 2014)

Completed applications due at the Food Bank by Friday, June 20, 2014
For more information, please contact Vickie Steck at  
or 607.796.6061 x4016
Click here to access the Food Grant Application
Click here for the Shelter Application


2014-2015 HPNAP OS/CE Application Materials
(posted March 18, 2014)

Completed applications are due to the Food bank by Wednesday, May 21, 2014 by no later than 4:00 p.m.
For more information, please contact Lyndsey Lyman at or 607.796.6061 x4017.


Instruction Booklet (word)
Application (word)
Application Checklist (word)
Shelter Addendum (word)


2014 Agency Membership Renewal Forms
(posted November 18, 2013)

The Renewal Application, Membership Agreement, Delivery Agreement, and Pantry Addendum forms are below.
Completed applications are due to the Food bank by Friday, December 13, 2013.
For more information, please contact Vickie Steck at or 607.796.6061 x4016.

Membership Renewal Cover Letter (please read first)

2014 Renewal Application
2014 Membership Agreement
2014 Delivery Agreement
2014 Delivery Facts
2014 Pantry Addendum
2014 Food Bank Holiday Schedule



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