Food Outtake Entry

Volunteer Name:*

(Type in your First & Last Name)

Date:*

Pounds #

Food Types:

Bread/Pastries:

Dairy:

Deli:

Dry Goods:

Frozen:

Liquids:

Liquids (water, soda, juice, Gatorade, etc.)

Meat:

Produce:

Non-Food Items:

Non-Food Items are household items, cleaning products, personal hygiene items, etc.

Furniture (Donated to StreetWise, enter item weight & description):

Furniture, electronics, toys, etc. (Donated to StreetWise that you are checking out), enter item weight & type in the item description, i.e., Mattress, table, chair, stereo, heaters, toys).

Volunteer Food Outtake

Pounds #

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