Active Faith Food Pantry online order form. We are located in South Lyon. Distribution days are Mondays from 11:00 am - 4:30 pm and Wednesdays from 1:00 pm - 6:00 pm. You may come once per week. Please allow us time to get your order together before coming to the pantry. If you have trouble coming to the pantry, please call our office at 248-437-9790

In the interest in maintaining social distancing, when you pull up to our building, please remain in your car and one of our volunteers will meet you there.  
Eligibility for TEFAP is based on the household being in need of emergency food, meets the below income guidelines, participates in SNAP, WIC, FDPIR, CSFP or a child receives free/reduced meals at school.
This institution is an equal opportunity provider. You will not be asked for proof.
 
This table shows a gross income for each household size
Based on 200 Percent Federal Poverty Income Guidelines
Household Size Annual Monthly Weekly
1 $25,520 $2,126 $490
2 $34,480 $2,873 $663
3 $43,440 $3,620 $835
4 $52,400 $4,366 $1,007
5 $61,360 $5,113 $1,180
6 $70,320 $5,860 $1,352
7 $79,280 $6,606 $1,524
8 $88,240 $7,353 $1,696
For each additional family member add $8,960 $746 $172
Please tell us how you qualify for food assistance TODAY. We do not verify this or ask for proof. (Please check all that apply) *
Is this your first time coming to Active Faith? *
If you are in need of Adult Protective Wear, please select size:
(2 remaining) (2 remaining) (3 remaining) (13 remaining)
(1 remaining) (9 remaining)
Please indicate age of baby:
Diapers and Wipes (Please choose 1 diaper size and 1 baby wipes)
(12 remaining) (6 remaining) (17 remaining) (9 remaining) (3 remaining) (0 remaining) (0 remaining)
(0 remaining)
Formula or Baby Food (Please choose 1 formula and baby food if you need it)
(1 remaining) (1 remaining) (2 remaining)
(5 remaining) (7 remaining) (1 remaining) (8 remaining)
Paper Products (Choose 1)
Bar Soap
Cleaning Supplies (Choose 1)
(1 remaining) (1 remaining) (1 remaining) (4 remaining)
(6 remaining) (7 remaining) (15 remaining) (2 remaining)
(1 remaining) (14 remaining)
Personal hygiene: (Choose 1)
(28 remaining) (11 remaining) (12 remaining)
(9 remaining) (25 remaining) (14 remaining) (62 remaining) (4 remaining)
(47 remaining)
TEFAP Extra
Miscellaneous (Choose 1)
(1 remaining) (6 remaining) (0 remaining) (15 remaining) (21 remaining) (1 remaining)
(9 remaining) (4 remaining) (9 remaining) (2 remaining) (5 remaining) (1 remaining)
(1 remaining) (8 remaining) (1 remaining) (6 remaining) (66 remaining) (10 remaining)
Mac/Cheese or Spaghettio's (Choose 1)
(0 remaining) (0 remaining)
Spaghetti Sauce
Tomato Products (Choose 1)
(23 remaining) (2 remaining) (1 remaining)
TEFAP Extra:
Pasta (Choose 1)
(7 remaining) (1 remaining) (23 remaining)
(21 remaining)
Dry Soup (Choose 1)
(0 remaining) (4 remaining) (1 remaining) (0 remaining) (11 remaining)
Large Progresso or Chunky Soups (Chosen at Random)
Canned Soup (Choose 2)
(5 remaining) (138 remaining)
Extra Tomato Soup
Canned Fish (Choose 1)
(2 remaining) (6 remaining) (0 remaining)
Peanut Butter or Jelly? (Choose 1)
(0 remaining) (0 remaining) (12 remaining) (90 remaining)
Rice or Stuffing (Choose 1)
(6 remaining) (4 remaining) (6 remaining) (9 remaining) (4 remaining)
(1 remaining) (15 remaining) (4 remaining)
Instant Potatoes (Choose 1)
(33 remaining) (0 remaining)
Canned Vegetables (Limited amounts) - Choose 1
(29 remaining) (0 remaining) (58 remaining) (25 remaining) (36 remaining)
Canned Vegetables (Choose 2)
 
Canned Beans (Limited amounts) - Choose 1
(15 remaining) (15 remaining) (1 remaining) (2 remaining)
(52 remaining) (1 remaining) (1 remaining) (4 remaining)
(1 remaining) (6 remaining) (1 remaining) (47 remaining)
(0 remaining)
Canned Beans (Choose 2)
(21 remaining)
 
TEFAP Extra
Canned Fruit (Limited Amounts) - Choose 1
(0 remaining) (0 remaining) (41 remaining)
Canned Fruit (Choose 2)
(28 remaining)
 
TEFAP Extra (Check all you wish to receive)
Canned/Pouched Meat (Choose 1)
(3 remaining) (0 remaining) (59 remaining)
TEFAP Extra (Choose all you would like to receive)
Oatmeal (Choose 1)
(2 remaining) (42 remaining)
Baking Mixes (Choose 1)
(0 remaining) (63 remaining) (37 remaining)
Shelf Stable Milk (Choose 1)
(0 remaining)
Cereal (Choose 1)
(1 remaining) (2 remaining) (26 remaining) (5 remaining)
(3 remaining) (23 remaining) (2 remaining)
(1 remaining) (36 remaining) (2 remaining) (31 remaining)
Crackers (Please tell us what kind you like): Saltines, Ritz, Teddy Grahams, Graham Crackers, Townhouse, etc (Subject to availability so give a couple of preferences.)
 
Beverages (Choose 1)
(1 remaining) (2 remaining) (0 remaining) (75 remaining)
(2 remaining) (78 remaining) (0 remaining)
(4 remaining) (22 remaining)
Bread (Choose 1)
(28 remaining) (10 remaining)
Perishables: Choose all you would like to receive
(48 remaining) (63 remaining) (62 remaining)
Ground Beef (Frozen)
Frozen Meat (Choose 1)
(68 remaining) (27 remaining) (19 remaining) (30 remaining)
(46 remaining) (7 remaining) (61 remaining) (48 remaining)
(3 remaining) (37 remaining) (65 remaining) (86 remaining)
(8 remaining)
Fresh Produce (Check yes or no) *
 

Please answer some general information about you and your household so we can serve you more efficiently. Filling it out now will save you time when you arrive at the pantry.

I provide written consent to record my information on a secure electronic database. (Only Active Faith staff will be able to view your individual account) *
 +
Language(s) spoken in the household (check all that apply): *
 
Ethnicity (check all that apply): *
 
Self Identifies as: *
 
Income Sources (check all that apply)
 

Additional Household Members (if any): This is very important so everyone can be counted.

 +
 +
 +
 +
 +
 +
 +