Mansfield Farms to Family

Have you previously participated in the Farms to Family Program?

I certify my household still resides at the same address in Mansfield, CT

We are happy to see your interested in returning to the program and want to let you know about the changes for this year.

2026 Changes& updates -

Households can only sign up for either a partially sponsored CSA or the monthly distribution. If you choose the CSA option, the monthly distribuiton will not be available. There are limited slots for each of these programs. If needed, they will be prioritized on the order in which applications are received.
Should you like to use funds for a CSA, you will need to secure your CSA and we will provide a promise to pay up to the approved amount to a local CSA farmer. We will only be able to support UP TO 50% of a CSA, depending on Cost and financial need.
Our Monthly food distribution program will be set up as an opportunity to pick from items that were ordered. They will not come pre-bagged. Recipes will be provided as we are able.

Please note the following documentation is needed to complete your application:

Three (3) most recent pay stubs or copy of other sources of income (if applicable) i.e.: Social Security, Private Pension, Unemployment, Workman's Comp, Disability Benefits, Veterans Benefits, Rental Income, Welfare, Alimony, Child Support, etc. for all income earners in the household.

Welcome -

Please note the following documentation is needed to complete your application if you have never applied for the program:

Proof of residence - such as a copy of lease, utility bill, or mortgage statement.

Income verification - copies of three most recent paystubs or copy of other sources of income (if applicable) i.e.: Social Security, Private Pension, Unemployment, Workman's Comp., Disablity Benefits, Veterans Benefits, Rental Income, Welfare, Alimony, Child Support, etc. from all income earners in the household.

Households can only sign up for either a partially sponsored CSA or the monthly distribution. If you choose the CSA option, the monthly distribuiton will not be available. There are limited slots for each of these programs. If needed, they will be prioritized on the order in which applications are received.

Should you like to use funds for a CSA, you will need to secure your CSA and we will provide a promise to pay up to the approved amount to a local CSA farmer. We will only be able to support UP TO 50% of a CSA, depending on Cost and financial need.
Our Monthly food distribution program will be set up as an opportunity to pick from items that were ordered. They will not come pre-bagged. Recipes will be provided as we are able.

Applicant Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Co-Applicant Name

First NameLast Name

How long have you lived in Storrs/Mansfield?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Applicants Employer(s)

Employers Name

Street Address

CityState / Province

Postal / Zip Code

Annual Wages

Length of Employment

Co-Applicants Employers

Employers Name

Street Address

CityState / Province

Postal / Zip Code

Annual Wages

Length of Employment

Other Sources of Income

How many people live in your household

Number of people over the age of 18?

Number of children under the age of 18?

What is the annual income for your household?

Other people living with the applicant

Rows	Relationship to Applicant	Date of Birth	Employer	Yearly Income
Name of Household member
Name of Household member
Name of Household member
Name of Household member
Name of Household member
Name of Household member
Name of Household member
Name of Household member
Name of Household member

Please answer the following questions so we can best know how to support you.

Do you have access to transportation?

My household would like to participate in the monthly fresh food distribution?

Based on final approved budget, Monthly fresh food distributions may have the option of getting either eggs & milk or one pound of ground beef. Please select what you would prefer.

What produce items would you like to receive on a regular basis?