To receive service in Cy-Fair Helping Hands' Food Pantry bring photo ID, current proof of residence such as a utility bill, and proof of household income such as your last two check stubs or bank statements and come to 9606 Kirkton Drive on Monday, Thursday, or the first or third Saturday of each month. The Pantry is open from 9:30am until 12:30pm. CFHH’s Food Pantry is available to residents of Zip Codes 77040, 77041, 77064, 77065, 77069, 77070, 77084, 77092, 77095, 77429, 77433, and 77449. 
 
Once you submit your application you'll receive a confirmation email along with instructions on how to access the Food Pantry.
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Marital status (Estado civil) *
Gender *
Race (Raza) *
Are you fleeing domestic violence?
(estas huyendo de la violencia domestica) *
Are you a US veteran?
(Es veterano de los Estados Unidos?) *
Are you currently homeless?
(Esta actualmente sin hogar?) *
Complete the following for each person currently living with you: (Information de cada persona que vive en su hogar:)
 Include info for each person
Name (Nombre)
Date of birth (Fecha de nacimiento)
Relationship to you (Relacion para usted): Mother (Madre), Father (Padre), Son (Hijo), Daughter (Hija), Other (Otro)
Complete the following for each person currently living with you: (Information de cada persona que vive en su hogar:)
 Include info for each person
Name (Nombre)
Date of birth (Fecha de nacimiento)
Relationship to you (Relacion para usted): Mother (Madre), Father (Padre), Son (Hijo), Daughter (Hija), Other (Otro)
Complete the following for each person currently living with you: (Information de cada persona que vive en su hogar:)
 Include info for each person
Name (Nombre)
Date of birth (Fecha de nacimiento)
Relationship to you (Relacion para usted): Mother (Madre), Father (Padre), Son (Hijo), Daughter (Hija), Other (Otro)
Complete the following for each person currently living with you: (Information de cada persona que vive en su hogar:)
 Include info for each person
Name (Nombre)
Date of birth (Fecha de nacimiento)
Relationship to you (Relacion para usted): Mother (Madre), Father (Padre), Son (Hijo), Daughter (Hija), Other (Otro)
I understand that all information on this application will be used to evaluate need and determine the available assistance for all parties listed. I consent to the release of this information to such agencies as may be able to provide assistance. I understand I may revoke this consent to release information in writing at any time, except to the extent that action has already been taken. This form was completed in its entirety and read by me (or to me) before signing. A copy of this signed form is as valid as the original.
 
Entiendo que toda la informacion en esta solicitud sera usada para evaluar las necesidades y determinar la asistencia disponible para todas las partes citades. Doy mi consentimiento para la divulgacion de esta informacion a tales organismos que sean capaces de prestar asistencia. Entiendo que puedo revocar esta consentimiento para liberar informacion por escrito en cualquier momento, excepto en la medida en que la accion ya ha sido tomada. Esta forma fue completada en su totalidad y ledo por mi (or para mi) antes de la firma. Una copia de esta formulario firmado es tan valida como el original.
Signature (Firma) *
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