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.

Are you homebound?

Yes

No

In North Carolina, under the Older Americans Act (OAA), homebound means you are unable to leave home without assistance — such as a walker, wheelchair, or another person — due to illness, disability, or isolation, making it difficult to prepare meals or get to a community dining site.

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 our eligibility guidelines related to age, disability status, and homebound 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.