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Apply for Meals

Please fill in as much information as possible.
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Name(*)
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Address Line 1(*)
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Address Line 2
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City(*)
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Zip Code(*)
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Phone Number(*)
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Phone Type
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Email
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Date of Birth(*)
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Name of Person Completing Form
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Phone of Person Completing Form
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Email of Person Completing Form
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Relationship to Client
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If Other, Please Describe
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Client Lives in State College Area School District
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Client is Homebound
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Available Diet
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List any Food Allergies
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Note: A Start Application form is required for each member of the household requesting service.
Next Steps: A staff person from Meals on Wheels will contact you to complete your application. If you are approved for service, you will be notified and a service start date will be scheduled.