Apply for Assistance

Who is eligible?

Any residents of Manhattan, Kansas or people who work in Manhattan, Kansas are eligible to receive a grocery gift card as a part of this program. Eligibility will be determined by the following factors:

  • Reduction of wages due to job status change
  • Number of individuals in the household and
  • Other household income available.
How is grocery assistance distributed?

After you complete your application, a member of the Shepherd’s Crossing or Konza United Way team will review your application. 

If you have been determined to be eligible for this assistance, you will be contacted. Please ensure your contact information in this form is accurate. 

Once approved, grocery store gift cards (Dillon’s and Hy-Vee) will be sent to you via mail. Please ensure that your mailing address is accurate. We are not responsible for delivery times and or errors on the part of the USPS. 

Application Form

Asset 1
  • Your Information

  • If approved, your grocery gift card will be mailed to you at this address.
  • Household Information

  • Name of Person Relationship to you Is this person currently employed? If employed, gross monthly income?  
           
    There are no People.

    Maximum number of people reached.

  • Employment Information

  • If your employer is currently selling gift cards through this website, please indicate so.
  • Please upload a copy of your most recent pay stub.