SNAP Outreach Event Request Person Filling out Request: First Name Last Name Email: Phone Number Best Time to Call Organization Affiliated With: Name of Event: Location: Date/Time Date/Time: Date Date/Time: Time Target Population Type of SNAP Outreach activity(s) requested (check all that apply and provide a narrative below): Staffed Booth Staffed Informational Table Presentation Informational Materials Provide Topic Areas for Informational Materials Seeking: Narrative: Sample: Information about the availability, application process, eligibility requirements, benefits of SNAP, application assistance, answer general questions related to SNAP, assistance with change reporting, assistance with Interim reports, recertifications, CAPTCHA What code is in the image? Enter the characters shown in the image. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank