HPNAP Operations Support/Capital Equipment Application 2021-2022
This file contains the HPNAP Operations Support/Capital Equipment Application for the 2021-2022 year. It includes sections for agency service levels, days of operation, and food provision. Complete and submit this application to apply for an OS/Capital Equipment grant.
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How do I fill this out?
To fill out this application, provide clear and accurate information about your emergency feeding program. Ensure all required fields are completed and that responses are typed or clearly printed. Follow the detailed instructions in each section of the form.

How to fill out the HPNAP Operations Support/Capital Equipment Application 2021-2022?
1
Enter your organization's general information.
2
Provide service level statistics for your agency.
3
Specify the days and frequency of your pantry's operation.
4
Detail the provision of nutritious food to your clients.
5
Answer all questions in the scope of food services section.
Who needs the HPNAP Operations Support/Capital Equipment Application 2021-2022?
1
Emergency Feeding Relief Organizations who want to apply for an Operations Support/Capital Equipment grant.
2
Food Pantries that are looking to improve their service levels and need funding assistance.
3
Nonprofit agencies providing food assistance and looking for support to enhance operations.
4
Organizations that need to document and report their service statistics and operations schedule.
5
Agencies that need to demonstrate their provision of nutritious food to apply for grants.
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What are the instructions for submitting this form?
To submit the form, complete all required sections and review for accuracy. Submissions can be made via email to HPNAP@health.ny.gov, by fax to 518-402-5300, or by mailing the completed application to NYS Department of Health, Hunger Prevention and Nutrition Assistance Program, Room 650, Corning Tower, Empire State Plaza, Albany, NY 12237. Ensure the application is submitted before the deadline to be considered for the grant. It is advisable to keep a copy of the submission for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for this form in 2024 and 2025 include submission deadlines which will be announced by NYS Department of Health and HPNAP. Agencies are encouraged to check for updates and ensure the application is submitted before the deadline to be considered for the grant.

What is the purpose of this form?
The purpose of this form is to apply for the HPNAP Operations Support/Capital Equipment grant for the 2021-2022 period. This application aims to gather detailed information about the agency's service levels, operational days, and the provision of nutritious food to clients. By completing this form, agencies can request funding to support and enhance their emergency feeding programs, ensuring they can better serve their communities in need.

Tell me about this form and its components and fields line-by-line.

- 1. General Agency Information: Includes fields for agency name, site address, ZIP code, food bank ID, county, and contact person details.
- 2. Agency Service Level: Captures data about average monthly service statistics including the number of children, adults, and elderly served.
- 3. Days of Operation: Collects information on the frequency of pantry operations and the total number of days the pantry is open each month.
- 4. Provision of Nutritious Food: Assesses how often fresh produce and other high nutritional quality foods are available to clients.
- 5. Scope of Food Services: Open-ended questions about the population served, community needs, and daily operations of the food pantry.
What happens if I fail to submit this form?
Failing to submit this form can result in your agency being ineligible for the OS/Capital Equipment grant for the year.
- Lost Funding Opportunity: Failure to submit may result in the loss of critical funds needed to support and enhance your food assistance program.
- Service Disruption: Without the grant, your agency might face challenges in maintaining or improving operations and services.
- Missed Community Support: Inability to secure funding could impact the level of support you provide to the community, especially in times of need.
How do I know when to use this form?

- 1. Grant Application: When your agency is seeking funding to support emergency feeding programs.
- 2. Service Documentation: To document and report the statistics and operations of your emergency feeding relief organization.
- 3. Nutritional Assessment: To assess and report the availability of nutritious food provided to your clients.
- 4. Operational Planning: To plan and report the frequency and days of operation of your food pantry.
- 5. Community Needs Assessment: To describe the population served and the factors necessitating your services.
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