PANTRY MONTHLY NUMBERS

Please refer to your monthly Foodbank report to fill in the following form. Every pantry and program within our network is required to submit their monthly numbers. Your numbers for each month must be submitted via this form by the 10th of the following month. If your pantry or program was not operating within the previous month, please submit a report with zeroes for that month. Pantries and programs that do not submit monthly numbers are subject to consequences. Thank you for your time and dedication to fighting hunger in Stark County!

Pantry Number*

This is the number you use to log into your Akron Canton Regional Foodbank account.
Pantry Name*
Which city is your pantry located in?*
Month You Are Reporting For*
Name of Person Reporting (First & Last)*
Phone*
Email*
HOUSEHOLDS (Line 1 of Foodbank report)
Number of households WITH children*
Number of households WITHOUT children*
TOTAL number of households*
SENIORS (Line 2 of Foodbank report)
Number of seniors served (age 60 & older) in households WITH children*
Number of seniors served (age 60 & older) in households WITHOUT children*
TOTAL number of seniors served (age 60 & older)*
ADULTS (Line 3 of Foodbank report)
Number of adults served (age 18-59) in households WITH children*
Number of adults served (age 18-59) in households WITHOUT children*
TOTAL number of adults served (age 18-59)*
CHILDREN (Line 4 of Foodbank report)
Number of children served (birth - 17)*

Please submit only the number of children listed in line 4, column A. Disregard columns B and C.
TOTAL SERVED (Line 5 of Foodbank report)
TOTAL number of people served in households WITH children*

This is listed in line 5, column A in your Foodbank report.
TOTAL number of people served in households WITHOUT children*

This is listed in line 5, column B in your Foodbank report.
CONTACT INFORMATION
If any of your information (address, phone number, pantry point of contact) has changed since your last entry, please enter it below.
Questions, comments, or concerns:

HOUSEHOLDS (Line 1 of Foodbank report)

SENIORS (Line 2 of Foodbank report)

ADULTS (Line 3 of Foodbank report)

CHILDREN (Line 4 of Foodbank report)

TOTAL SERVED (Line 5 of Foodbank report)

CONTACT INFORMATION