Write-Right Nutrition Program Application

Families With Children & Youth

About one in five households with children in the United States face food insecurity at some point during the year. More than half a million children in Georgia don’t have consistent access to enough nutritious food. This can have long-term effects on their health and future.

Kids who are food insecure are more likely to be held back a grade in elementary school, more likely to be sick and hospitalized, and more likely to have growth and developmental issues.

Unlike other nutrition programs, DFOWW Incorporated’s Write-Right Nutrition Programs is comprehensive as it relates to acquiring and maintaining good nutrition. The program was designed to help both children and adults understand how food is grown, and how to obtain it efficiently and cost-effectively. The Write-Right Nutrition program (WRNP) provides nutritious meals to families with children along with nutrition literacy information workshops. This allows participants to obtain, process and understand nutrition information and skills needed to make appropriate nutrition related decisions. The Write-Right Nutrition program consists of 6 in-person workshops totaling 36 hours of curriculum for the whole family. A certificate of completion will be awarded to participants who complete all 6 workshops.

The Write-Right Nutrition Program (WRNP) is a hunger relief program designed to assist families with children and youth who experience food insecurity. Primary caretakers and/or legal guardians of children and/or youth under the age of 17 years may complete this application. Our hunger relief program provides nutritional literacy information on healthy foods to eat and tips on creative ways to prepare healthy meals on a budget. Participation fees are $10 per adult (Per workshop) and free for all children under the age of 17.

Date: (YYYY-MM-DD)

Full Legal Name

Phone

Please Select Gender

Ethnicity

Date of Birth (YYYY-MM-DD)

Are you a U.S. Citizen? You must be a USA citizen to apply.

*Asylum seekers and/or refugees who have left their country and is seeking protection from persecution and serious human rights violations will be considered on a case-by-case basis.

Are you an asylum seeker or refugee?

Home Address/Current Residence

City

State

Zip Code

Are there any children living in your household under the age of 17?

Will any children be attending the workshop(s) with you?

If you answered yes to the above question, please list the children’s age and gender who will be attending with you below:

How did you hear about the Write-Right Nutrition Program?

Do you need any accommodations to attend this event?

If you answered yes to the above question, what accommodations will you need?

I understand an authorized representative from DFOWW Incorporated will notify me of the dates, times, and locations for nutrition workshop events.

Please note the Write-Right Nutrition Program is a charity, low-cost, affordable program. Nutrition workshop participants will be provided free lunch/dinner and food nutrition information.

Privacy Policy:

Your privacy is critically important to us, and we secure your privacy by adhering to the following:
We only ask you to provide personal information as it relates to onboarding new members of the board of directors, enrolling qualifying applicants in our charity programs, and when hiring contractors.
We store personal information only as long as we have a reason to keep it.
We share your personal information with Federal, State, and local governmental agencies for reporting purposes. Inaddition, as part of their oversight role and fiduciary duties, existing members of the board of directors may review anypersonal information we collect.
All personal information is stored in our internal, secure company database. Only trusted, high-level senior staff andmembers of the DFOWW Incorporated board of directors can access such privileged and sensitive information.
We aim for full transparency on how we gather, use, and share your personal information.

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