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2026 THANKSGIVING HOLIDAY FEAST APPLICATION
Pierre Area Referral Service partnering with Feeding South Dakota APPLICATION DEADLINE: NOVEMBER 1, 2026 Applications must be complete and legible to be processed. |
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| Name: _____________________________________________ | Total number in household: ____________ | |||
| Mailing address: __________________________________ | City: __________________________________ | |||
| Physical address: _________________________________ | City: __________________________________ | |||
Telephone #: _______________________________ Message #: _______________________________
| HOUSEHOLD INFORMATION |
| Full Name | Relationship | Birth Date |
| (Self) | ||
List additional household members on the back if needed.
| TOTAL HOUSEHOLD INCOME |
| Type of Income | Received By | Employer/Business Name | Amount | How Often |
| Employment (before taxes) | $ | |||
| Employment (before taxes) | $ | |||
| Tribal Support | $ | |||
| TANF | $ | |||
| Child Support | $ | |||
| Unemployment | $ | |||
| SSI / SSD / SSA | $ | |||
| VA Benefits | $ | |||
| Other Income | $ | |||
| TOTAL HOUSEHOLD INCOME | $ | |||
Return completed applications to Pierre Area Referral Service, 110 W. Missouri Ave., Pierre, SD 57501
I confirm that the information provided is true and complete to the best of my knowledge and may be verified. Fraudulent statements are grounds for denial of services. Completion of this application does not guarantee a holiday feast. Meals depend on available donations. The application must be complete and include a working contact number so the household can be notified.
| ________________________________________ Signature of Applicant |
____________________ Date |
☐ APPROVED BY STAFF: ______________________________
| PICKUP ONLY | DISTRIBUTION: NOVEMBER 21, 2026 | TIME: TBD |
A Capital Area United Way Partner Agency