Wufoo

DIRECTIONS

READ BEFORE APPLYING

STEP 1 - APPLY: Shopping is only open to current NECC students. Once you fill out the form, a confirmation email will be sent with a date and time for pick-up based on availability and chosen campus location and time slots.

STEP 2 - Grocery List:
- Please check all items you are interested in.
- Items will be packed for you based upon this list - While every effort will be made to adhere to this list, please understand that this may not always be possible since we are a small pantry that utilizes donated food items and we do not always have all of the items on the list.
- Please indicate any special needs you have and/or any suggestions, wants, and needs in the comments section.

STEP 3 - PICKUP:
- Due to COVID-19, shopping will be pre-packaged and available for pickup only by appointment.
- Below you will select a campus for pick up. After registration, an email will be sent to schedule the pick-up appointment at the given campus.
- The day before your appointment: You will receive a confirmation email with your confirmed pickup time slot, pickup campus address and room; and the pickup process/rules.
COVID-19 GUIDELINES:

READ ALL BEFORE APPLYING

- All students must sign into the building using the QR code located on entrance doors.

- All students must wear a facial covering at all times while in the building, and when outside if unable to maintain 6-feet of social distancing.

- All students must commit to maintain 6 feet of social distancing between yourself and others while on campus.

- Use of restrooms are limited to one person at a time to ensure social distancing between individuals. Wash your hands thoroughly for at least twenty seconds afterwards to reduce possible transmission of the virus.

- If you are sick, not feeling well, showing COVID-19 symptoms, or have a positive COVID-19 test, you should not come to campus. You may send someone in your place to pick up the food. For a list of symptoms, visit this CDC webpage: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

- For more information please watch these COVID-19 Videos: https://www.necc.mass.edu/public-safety/coronavirus-information/covid-19-training/
Name * First Last
Home Zip Code *
Email *
Phone Number * ### - ### - ####
What is your student ID number? *
Enter 8 digits. Currently Used: 0 digits.
Number of Children in the Household (0-17 years old) *
Number of Adults in the Household (18-64 years old) *
Number of Seniors in the Household (65+years old) *
Which campus pantry location do you want to pick up your groceries? We might be able to deliver your groceries if you live in Lawrence, Methuen, Haverhill, Andover or North Andover. If you are interested in delivery, please indicate below and we will be in touch. *
Haverhill Closet Time Slots *
9 - 10 AM 10 - 11 AM 11 AM - 12 PM 12 - 1 PM 1 - 2 PM 2 - 3 PM 3 - 4 PM

Haverhill Closet pick-up is available only on Tuesdays.
Please choose two time slots - we will email you a specific pick-up time after registration.
Lawrence Closet Time Slots *
9 - 10 AM 10 - 11 AM 11 AM - 12 PM 12 - 1 PM 1 - 2 PM 2 - 3 PM 3 - 4 PM

Lawrence Closet pick-up is available only on Thursdays.
Please choose two time slots - we will email you a specific pick-up time after registration.
If you chose delivery, what is the main reason you cannot pick up on campus? *
Does paying for food impact your studies, classwork, and homework? *
Yes No
Is this the first time you have signed up to use our pantry? *
Yes, this is my first visit to the NECC pantry No, I have shopped at a NECC pantry before
If you have shopped the NECC pantry before, has it helped you worry less about paying for food? *
Yes, I worry less. No, I never worry about paying for food. No, I still worry the same amount about paying for food. I would rather not answer.
Are you interested in receiving more information about any of the following? *
SNAP (Supplemental Nutrition Program) formerly known as Foodstamps. Food pantry information Information about other resources (housing, childcare, etc.) Clothing assistance All of the Above No, thank you
Shopping List

Please check the food items you would prefer to receive in your pre-packaged bag. Please note the food items listed below are subject to availability.
Please check the items you are in need of:
Cereal (cheerios, fruit loops, lucky charms, Cinnamon Toast Crunch, etc.) Coffee (Decaf or Korean instant coffee with sugar and creamer) Oat Meal (Original, Cinnamon & Spice, Maple & Brown Sugar, Apples & Cinnamon) Shelf-stable Milk Shelf-Stable Almond Milk Peanut Butter Nut Free Butter (sunflower butter, wow butter, etc.) Mac + Cheese Gluten Free Mac + Cheese Pasta (spagetti, farfalle, elbow, shell, *please specify in comments) GF Pasta White Rice Brown Rice Seasoned Rice Pork and Beans Baked Beans Garbonzo Beans Black Beans Refried Beans Mixed Fruit Cups Diced Pear Cups Tropical Fruit Cups Pineapple Tidbits Cups Canned tuna Canned Chicken Tomato Soup Chicken Noodle Soup Vegetarian Soup Minestrone Soup Tomato Sauce Assortment of Canned Veggies Beefaroni Beef Stew Frozen Meals Assortment of Snacks Feminine Hygiene Products: Tampons Feminine Hygiene Products: Pads Hand Sanitizing Wipes

CURRENTLY OUT OF STOCK:

- ALL cereal
- coffee
- ALL oat meal
- shelf stable almond milk
- Nut free butter
- GF products
- ALL rice products
- Pork and beans
- Black beans
- Garbanzo beans
- Refried beans
- Canned tuna
- Canned chicken
- ALL fruit cups
- Vegetarian soup
- Beef stew
- Frozen meals
- Hand sanitizing wipes
Please clarify any items below (such as specific pasta, oatmeal, or coffee) and if selecting feminine hygiene products, how many of each:
Do you have any special requests, wants/ needs, and/ or suggestions for us? *
Yes No
We want to best serve you! Please let us know if there are any items you are in need of and any suggestions you might have of the registration process or items available! *
Maximum of 500 words. Currently Used: 0 words.
Do Not Fill This Out

Wufoo

DIRECTIONS

COVID-19 GUIDELINES:

Shopping List