2025-26 Application for Services

Current Qualifier
Client Information
Nutritional Risk Assessment
Household Information
Additional Information
Complete

Qualifier

Which program type are you interested in?

Self Pay – NO WAITING LIST (Check, Credit Card, Food Stamps, Cash accepted. $5 per meal full price; $3.80 per meal using SNAP)

Cost-Free - Waiting List. No charge for meals, must meet qualifications.

Hospital Discharge Meals - APPLICATIONS FOR THIS PROGRAM MUST BE SUBMITTED BY HOSPITAL STAFF THROUGH NC CARE 360 PORTAL.

Non-HCCBG Bi-Annual Assessment - ACTIVE CLIENTS ONLY who received an assessment from volunteer.

Are you under 60 years old?

Yes

No

Do you have a disability or impairment?

Yes

No

The Americans with Disabilities Act (ADA) defines a person with a disability as a person who has a physical or mental impairment that substantially limits one or more major life activity. This includes people who have a record of such an impairment, even if they do not currently have a disability. It also includes individuals who do not have a disability but are regarded as having a disability.

Thank you for your interest in our meal services. Based on eligibility guidelines related to age and ability status, unfortunately you do not qualify for our cost-free meal program at this time. However, if you would still like to receive meals, you are welcome to participate through our self-pay option.