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. 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.

Date:

Full Legal Name(required)

Phone(required)

Ethnicity(required)

Date of Birth(required)

Are you a U.S. Citizen? Must be a USA citizen to apply.(required)

Yes

*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?(required)

Yes

Home Address/Current Residence(required)

City(required)

State(required)

Zip Code(required)

If you answered yes to the above question, please list the children’s age and gender below:

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

Please note the Write-Right Nutrition Program is a charity, low-cost, affordable program. All low-cost nutrition events will be contingent on available grant funding. Nutrition workshops are low-cost, affordable events in which participants will be provided free lunch/dinner and food nutrition information.

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