Food Pantry Request

What to Expect

Accessing Pantry Resources

Parents or guardians will be asked to complete the request form below each time they are requesting services.   

Once the Health and Wellness Director receives the form, they will contact the resource coordinator of the child’s school to verify attendance and then work directly with the parent or guardian to arrange for services. Parents or guardians will travel to their local Kroger location to pick-up their order at the date/time requested.

Our goal is for this process to be as easy, quick and confidential as possible, and for you to get the most out of the resources available to you. Please considering reviewing this list of Kroger budget friendly meals before submitting your request.

Frequency of Use

Eligible families may visit the pantry once a month. The following restrictions apply to services based on your household size:

Size of HouseholdUsage Per Visit
2 in householdUp to $100/visit
3+ in householdUp to $200/visit

Items provided through the Food Pantry should cover essential needs. We are unable to purchase drinks, chips, snack foods, alcohol and frozen foods. Exceptions will be considered on a case-by case basis by the director.

Please enable JavaScript in your browser to complete this form.
Step 1 of 2

Please complete the information below and contact if you have any questions or require assistance with this form.

Parent or Guardian Information


The next two questions are voluntary and will not impact your request for services. We ask that you answer them to help us collect and share aggregated demographic information about the population we serve.

Do you consider yourself or your family Hispanic or Latino?

Additional Information

Does your child attend a CPS High School
Does your child receive free or reduced lunch?
Include yourself and all dependents living at home.
Pantry Offerings

Breakfast: Pancake mix, syrup, cereal, oatmeal, Pop-Tarts, grits, breakfast bars

Baby: Baby wipes, diapers, baby food, formula

Pantry Staples: Vegetable oil, sugar, flour, salt & pepper, baking soda/powder, plastic utensil sets, bottled water

Proteins: Peanut butter, nuts, canned meat (tuna/chicken/salmon/corned beef/beef stew), dried meat (beef jerky/Slim Jims), Vienna sausages

Dry Goods: Bread, unrefrigerated corn/flour/wheat tortillas, macaroni & cheese, bags of dry beans, pasta (spaghetti/rice/ramen noodles), boxed meal helper (chicken/hamburger/Tuna Helper), potatoes (boxed/Instant)

Canned Goods: Pasta sauce, soup, vegetables, fruit, beans, jelly, chili, apple sauce

Toiletries: Shampoo, conditioner, body wash, hand soap, lotion, toilet paper, toothpaste, toothbrushes, floss, razors, shaving cream, detergent

Cleaning & Laundry: Sponges, dish soap, disinfecting cleanser/wipes, dryer sheets, detergent