Free/Reduced Price Meal Application

Student Name(Required)

First Last

Preferred Name

First Last

Pronouns

ctcLink ID(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Program of Study

How did you hear about the Free/Reduced Meal Pilot Program at GHC?

Were you in Food Grant in your previous quarter?(Required)

Yes

Have you enrolled in classes at GHC for the quarter you are requesting to be in the food grant?(Required)

Yes

Your nearest campus(Required)

Aberdeen Campus

Raymond Campus

Ilwaco Campus

Check all that Apply(Required)

Pell Grant Eligible

Running Start

First Generation Student

Veteran

Disabled

None of the above

Monthly Household Income(Required)

Number in Household(Required)

Level of Food Security(Required)

Very low food security (inadequate access to food, with some people going without food at times)

Low food security (reduced quality, variety, or desirability of diet but little or no reduced food intake)

Marginal food security (anxiety over food sufficiency or shortages of food, but few changes in diet or food intake)

High food security (adequate access to food in both quality and quantity)

Use of Resources

Are you participating in or receiving any resources from any of these programs?

Select all that apply

Other Programs/Resources(Required)

Have you utilized any of the following campus resources?(Required)

Select all that apply

Harbor Landing Food Pantry

Snack Cabinets

Other

None of the Above

Other Campus Resources(Required)

Are you utilizing any of the following community resources?(Required)

Select all that apply

Basic Food Assistance

TANF

Food Pantry/Local Food Bank

CCAP

Other

None of the Above

Other Community Resources(Required)

Upload Supporting Documentation

Applicants must meet financial requirements and may need to provide documentation of income.

Pell grant students qualify and no extra documentation is needed.
Running Start students will be verified by the Running Start program and no extra documentation is needed.
TRIO SSS students may be verified by TRIO. If so, no extra documentation is needed. If TRIO SSS does not verify your income status, you may need to provide extra documentation.
WorkFirst, BFET, and Opportunity Grant students qualify and no extra documentation is needed.
Students who are not in the above categories will have to provide documentation of income status. This could include recent pay stubs, Basic Food paperwork, or recent income tax statements.

File

Max. file size: 64 MB.

Signature(Required)

By signing this document, I commit to using food grant resources for their intended purposes, outlined in this application and elsewhere. I also agree to allow college staff to contact me to follow up on my progress after the application is submitted. I attest that all information provided in this application is true and verifiable.

Non-Discrimination Notice

Grays Harbor College does not discriminate on the basis of race, color, national origin, sex, disability, sexual orientation, creed, religion, marital status, veteran status, genetics, or age in its programs, activities, and employment. The following person has been designated to handle inquiries regarding the non-discrimination policies:

Title II/Section 504 Coordinator Erin Tofte, Associate Vice President of Human Resources Grays Harbor College 1620 Edward P. Smith Drive Aberdeen, WA 98520 360-538-4234

Title IX Coordinator Ashley Bowie Gallegos, Dean of Student Services and Enrollment Management Grays Harbor College 1620 Edward P. Smith Drive, Aberdeen, WA 98520 360-538-4121