Mobile Food Pantry Scheduling Form

To request a host mobile food pantry distribution, please complete the form below. Requests will be filled on a first come, first served basis; we will contact you to discuss alternatives if your initial request is not available.

Once our Mobile Pantry Department has confirmed the date, time, size, and location of your mobile distribution(s), Feeding America West Michigan will deliver your scheduled Mobile Pantry trucks. It is your responsibility to staff the distribution with 15-20 volunteers. In compliance with the agency’s contract with Feeding America West Michiga, the food may only be given free of charge to the needy. Remaining product will be returned to the warehouse unless you have a pre-approved storage area or a pre-approved partner agency. Distribution time is usually less than 2 hours, however larger trucks are refrigerated and may exceed this time. More detailed information information and be found under Agency documents.

If you have multiple distribution locations, you must fill out a separate copy of this form for each location.

If you experience any difficulties with this form, you can also use the print version. You may mail or fax (616-784-3255) this form to our office. Remember to retain a copy for your records.

Programs Department Contacts:

Mobile Food Pantry Scheduling Form

Date Selection

Distribution Size

Truck SizeKent County FeeOther County FeeUpper Peninsula
5,000 Pound (100 families)$495$545Not Available
7,500 Pound (150 families)$625$675$1,075
10,000 Pound (200 families)$775$825$1,225
15,000 Pound (300 families)$1,050$1,100$1,500
20,000 Pound (400 families)$1,350$1,400$1,800
30,000 Pound (600 families)$1,950$2,000$2,400

Agency & Location Information

Official version on file with Feeding America West Michigan
May be same as or different from Agency Name; this field will be publicly available to direct people to your distribution
We recommend visiting the Find Food page on our website - www.FeedWM.org/FindFood - to check that the automatically generated map of your location is correct. Please use this field to let us know of any needed corrections as well as any special information our driver may need about which driveway to use, which part of the parking lot to go to, etc.
Available start times are Mon-Fri 9am to 6pm, Sat 9am, 10 am, 1 pm or 2pm only. Mobile pantry distributions outside of Kent County cannot be scheduled before 10:00am.

Contact Information - for internal use only

Cell Preferred for Distribution Day
(for submission by staff on agency behalf)
Sending