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, Leave this field blank
