Commodity Supplemental Food Program (CSFP) - Participant Interest Form 1. First and last name(Required) 1. Phone Number(Required) 1. Address(Required) 4. Are you at least 60 years old?(Required) Yes No 5. Do you live in Wayne, Oakland, Macomb, or Livingston county?(Required) Yes No 6. Does your household fall at or below the income listed at the bottom of the page?(Required) Yes No 7. Are you currently participating in another Commodity Supplemental Food Program (e.g., Focus: HOPE, OLHSA)?(Required) Yes No 8. I agree to receive phone calls from Gleaners regarding the Commodity Supplemental Food Program(Required) Yes No
