Why the change? The Church of Pentecost Calgary – Food Bank is pleased to collaborate with Food Banks Canada to modernize our intake process. By taking part in this new process and answering a few questions, you will help us reduce wait times for return visits to this organization and help us make smarter decisions on how to serve your community. Link2Feed is an electronic information tool provided to The Church of Pentecost Calgary – Food Bank by Food Banks Canada. This tool makes it easier for food banks to manage information about the community they serve while fulfilling reporting requirements.

Who has access to my information? Only certain people can log into the system. The Church of Pentecost Calgary – Food Bank and Food Banks Canada can run reports to look for trends and learn more about the community, but the reports will not identify any specific individual’s information. 

What questions do I have to answer? We will ask you some basic questions, including the following: First and last name, Address, Date of Birth, Number of people in your household.

We will also ask about your housing type, education level, and the names and dates of birth of your household members. Answering these questions is not required to receive food, but we hope that you will. 

Questions? Let us know. Learn more >>

Name *

First

Last

Date of Birth *

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• Is date of birth estimated?
• Prefer not to answer

Gender *MaleFemalePrefer not to answer

Marital Status *

• Single
• Married
• Common-Law
• Divorced
• Separated
• Widowed
• Prefer not to answer

Address

Address Line 1

City

State / Province / Region

Postal Code

• Has no fixed address
• Prefer not to answer

Housing Type *

• Band Owned
• Emergency Shelter
• On the street
• Private – Rental
• Own home
• Social rental housing
• With family/friends
• Group home/Youth shelter
• Rooming house
• Other
• Prefer not to answer

Phone

Email

Referred by *Select a referralClient/Friend/FamilyFaith organizationCommunity Support/ShelterNo referralPrefer not to answerOther (please indicate below)

Referred by (Other) *

Racial Identity *

• Indigenous
• White
• Asian
• Chinese
• Black
• Filipino
• Latin American
• Other
• Prefer not to answer

Disability *

• Yes
• No
• Prefer not to answer

Highest level of education *

• Grade 0-8
• Grade 9-11
• Grade 12
• OAC
• Post Secondary (some)
• Trade / Certificate program
• College diploma
• Undergraduate degree
• Postgraduate degree
• Other
• Prefer not to answer

Income source (if any) *No incomeCPPPart-time employmentDisability related benefitsEmployment insurance incomeFull time employmentOtherPrefer not to answer

Number of people in your household *

Person 1 – First Name & Age *

Person 2 – First Name & Age *

Person 3 – First Name & Age *

Person 4 – First Name & Age *

Person 5 – First Name & Age *

Person 6 – First Name & Age *

Person 7 – First Name & Age *

Person 8 – First Name & Age *

Person 9 – First Name & Age *

Person 10- First Name & Age *

Privacy Notice & Consent *

• See Privacy Notice & Consent Details. I have read and understood the information above and by signing this document I agree that my local food bank may collect, use and disclose my personal information for the purposes mentioned above. I also agree that my personal information will be entered into the Food Banks Canada’s Link2Feed Client Intake software and may be entered into my local food bank’s CMS.

Insert Name *

Submit