Intake Forms. Use Title IIIC participant intake forms to determine that at least 50 percent (50%) of participants have gross incomes at or below 100 percent (100%) of the FPL. Ensure Title IIIC SNAP-Ed site eligibility is evaluated annually, and the eligibility documentation records are kept on file at the contracting agency. [7 CFR 272.2(d)(2)(i) and (v)] [USDA/Western Regional Office Targeting Methodology Summary]
Intake Forms. The intake form that accompanies this packet may seem daunting at first, but it is designed to help me get the best view of you and your lifestyle. I look at all aspects of your life: your relationships, work, nutrition and eating habits, and even your childhood and infancy. All of these views help me form a detailed picture of who you are and what might be affecting your health. • To this end, I would like your intake forms returned to me at least 3 days before your appointment. This gives me plenty of time to look them over and form a mental and visual map of you and your lifestyle.
