Food Pantry Grant Program 2025 Application

United Dairy Industry of Michigan, Blue Cross Blue Shield of Michigan, Blue Cross Complete of Michigan and the Blue Cross Blue Shield of Michigan Foundation are proud to partner with food pantries to provide dairy foods, equipment and resources supporting an increase in distribution of dairy foods and other fresh food options to clients. Our goal is that all clients visiting Michigan’s food pantries have access to nutrient-rich dairy foods and, when possible, fresh vegetables and fruit.

1. Food Pantry Name: *This question is required.

2. Food Pantry Street Address: *This question is required.

3. City: *This question is required.

4. Zip *This question is required. This question requires a valid number format.

5. County *This question is required.

6. Food Pantry Phone Number: *This question is required. This question requires a valid number format.

7. Food Pantry Email Address: *This question is required. This question requires a valid email address.

8. Food Pantry Website Link (if applicable):

9. Food Pantry Social Media Links such as Facebook, Instagram, X or TikTok (if applicable):

10. Are the days and hours of operation posted online? *This question is required.

Please provide the link: *This question is required.

Please indicate how hours of operation are shared with the community and, if a regular schedule exists, list days of the week and hours of operation: *This question is required.

11. Does the food pantry operate under the umbrella of a larger organization? *This question is required.

Provide the following for the larger organization: *This question is required.

Organization Name
Address
City
Zip
County

12. Is the food pantry part of the 211 Referrel Network (https://mi211.org/)? *This question is required.

13. Applicant First Name: *This question is required.

14. Applicant Last Name: *This question is required.

15. Applicant Title: *This question is required.

16. Applicant Email Address: *This question is required. This question requires a valid email address.

17. Applicant Phone Number:
Please list the phone number that we can best reach you at for grant application questions. *This question is required. This question requires a valid number format.

18. Phone Number Type: *This question is required.

19. The applicant listed above is the primary contact person at the food bank to coordinate grant acceptance, requirements, equipment delivery and funding acceptance. *This question is required.

If the applicant is not the primary contact, please list the primary contact below:

First Name *This question is required.

Last Name: *This question is required.

Title: *This question is required.

Email Address: *This question is required. This question requires a valid email address.

Phone Number: *This question is required. This question requires a valid number format.

Phone Number Type: *This question is required.

20. Were you referred to this application by a Michigan Dairy Producer? *This question is required.

Please enter an 'other' value for this selection.

Food Pantry Grant Program 2025 Application

Food Pantry Information