Food Pantry Application  

Pathway Food Pantry orders can be submitted once every 30 days.

Please fill out all of the below information thoroughly.

If you are filling out information on behalf of another person, please enter their information.

If you have any questions, feel free to call the PCC office at
260-469-4444



Application Agreement

  - I understand that approval may take up to 24 hours or one business day. I understand that Pathway Community Church reserves the right to immediately deny any request if the information provided is found to be fabricated or false in any way.

Food Pantry Selection Form

  - Please select items you are running low on by checking the box next to your preferences from each category below. You may select as many items as you need. PLEASE NOTE: PCC cannot guarantee all of the items listed are in stock in our food pantry. This list is provided to help guide us when filling your order with the items you prefer.