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BSA Shares

BSA cares for every employee’s well-being and health while at work and home. BSA Shares is an anonymous food assistance program that can be utilized weekly by employees living in food-insecure homes.

Orders must be placed by Sunday for Monday afternoon pick up.

How It Works:

Fill out the food request form. Be sure to include quantity of goods for you and your family.
A BSA Shares volunteer will send a text when the order is ready for pick up.
Orders will be available for pick up at BSA Valet. Orders have EIN/phone numbers on labels.

* Due to supply issues certain goods or quantities may not be available.

What is your employee ID number? *

Phone Number *

Date *

Month

Day

Year

How many adults are in the household? *

How many children are in the home and what are their ages? *

PROTEINS

Select up to 5 PROTEIN items from the list below by checking the box beside each item.

(chili_bean) Mexican Chili Beans (can)

(pinto_bean_can) Pinto Beans (can)

(pinto_bean_dry) Pinto Beans (dry)

(ros_rf_bean) Rosarita Refried Beans

(b_black_bean) Bush's Black Beans

(chicken) Chicken (can)

(s_tuna_water) Starkist Tuna in Water (pouch)

(s_tuna_lunch) Starkist Tuna Lunch to Go

(jif_pb_go) JIF Peanut Butter To Go

(cboy_rav) Chef Boyardee Ravioli

(spagh_meat) Spaghettios with Meatballs

(chick_n_soup) Chicken Noodle Soup

(nv_prot_bar) Nature Valley protein bar

(fair_prot_drink_choco30) Fairlife Chocolate Protein Drink (30g protein)

(fair_prot_drink_straw30) Fairlife Strawberry Protein Drink (30g protein)

Once each selection is made, specify the quantity you would like of each item.

(chili_bean) Protein Quantity? *

(pinto_bean_can) Protein Quantity? *

(pinto_bean_dry) Protein Quantity? *

(ros_rf_bean) Protein Quantity? *

(b_black_bean) Protein Quantity? *

(chicken) Protein Quantity? *

(s_tuna_water) Protein Quantity? *

(s_tuna_lunch) Protein Quantity? *

(jif_pb_go) Protein Quantity *

(cboy_rav) Protein Quantity? *

(spagh_meat) Protein Quantity? *

(chick_n_soup) Protein Quantity? *

(nv_prot_bar) Protein Quantity? *

(fair_prot_drink_choco30) Protein Quantity? *

(fair_prot_drink_straw30) Protein Quantity? *

VEGETABLES

Select up to 3 VEGETABLE items from the list below by checking the box beside each item.

(green_bean) Green Bean

(h_spagh_sause) Hunt's Spaghetti Sauce

(bag_spagh) Bag Spaghetti

(tomato_sauce) Tomato Sauce

(corn) Corn

(mix_veggies) Mixed Vegetables

Once each selection is made, specify the quantity you would like of each item.

(green_bean) Quantity? *

(h_spagh_sause) Quantity? *

(bag_spagh) Quantity? *

(tomato_sauce) Quantity? *

(corn) Quantity? *

(mix_veggies) Quantity *

MILK - Shelf Stable

Select up to 1 MILK from the list below by checking the box beside the item

(CH Milk Horizon) Horizon Chocolate Milk

(CH Milk Horizon) Quantity? *

FRUITS

Select up to 3 FRUIT items from the list below by checking the box beside each item.

(T) Dole Pineapple Tidbits

(U) Mandarin Oranges

(V) Peaches

(W) Mixed Fruit Cocktail

Once each selection is made, specify the quantity you would like of each item.

(T) Quantity? *

(U) Quantity? *

(V) Quantity? *

(W) Quantity? *

BEVERAGES

Select up to 1 BEVERAGE from the list below by checking the box beside the item.

(X) Gatorade

(X) Quantity? *

GRAINS

Select up to 4 GRAIN items from the list below by checking the box beside each item.

(As_Cer) Assorted Cereal

(Br_Rice) Brown Rice (bag)

(Kraft_MC) Kraft Mac and Cheese (box)

(Kraft_Cup) Kraft Mac N' Cheese Easy Cups

(Qua_Sing) Quaker Instant Oatmeal (variety) (single serving size)

(Club_Crk) Club Crackers

(Pan_Mix) Pancake Mix

(cup_o_noodle) Cup of Noodle Chicken Ramen

Once each selection is made, specify the quantity you would like of each item.

(As_Cer) Grain Quantity? *

(Br_Rice) Grain Quantity? *

(Kraft_MC) Grain Quantity? *

(Kraft_Cup) Grain Quantity? *

(Qua_Sing) Grain Quantity? *

(Club_Crk) Grain Quantity? *

(Pan_Mix) Grain Quantity? *

(cup_o_noodle) Grain Quantity? *

SNACKS

Select up to 6 SNACK items from the list below by checking the box beside each item.

(CHZ_Its) Cheez Its

(Chz_Crk) Cheese Crackers

(PB_Crk) Peanut Butter Crackers

(Cer_Bar) Rice Krispie Cereal Bar

(sun_maid_raisons) Sun Maid Flavored Raisins

(Ap_Sa) Applesauce

(Go_Yogurt) Go Go Yogurt

(Straw_Poptart) Strawberry Poptarts

(tree_top_apple_crisps) Tree Top Apple Crisps

(kellogg_chatsnax) Kellogg's ChatSnax

(honey_maid_graham_squares) Honey Maid Graham Squares

(scooby_cinn_graham_snack) Scooby Cinnamon Graham Snack

(dick_and_jane_snack_crackers) Dick & Janes Snack Crackers

(jack_link_beef_stick) Jack Link Beef Stick

(jack_link_chick_bites) Jack Link Chicken Bites - 1oz package

(sunflower_kernels) Sunflower Kernels

(cheetos_baked_flaming) Cheetos - Oven Baked Flaming Hot

(cheetos_baked_regular) Cheetos - Oven Baked Regular

Once each selection is made, specify the quantity you would like of each item.

(CHZ_Its) Quantity? *

(Chz_Crk) Quantity? *

(PB_Crk) Quantity? *

(Cer_Bar) Quantity? *

(sun_maid_raisons) Quantity? *

(Ap_Sa) Quantity? *

(Go_Yogurt) Quantity? *

(Straw_Poptart) Quantity? *

(tree_top_apple_crisps) Quantity? *

(kellogg_chatsnax) Quantity? *

(honey_maid_graham_squares) Quantity? *

(scooby_cinn_graham_snack) Quantity? *

(dick_and_jane_snack_crackers) Quantity? *

(jack_link_beef_stick) Quantity? *

(jack_link_chick_bites) Quantity? *

(sunflower_kernels) Quantity? *

(cheetos_baked_flaming) Quantity? *

(cheetos_baked_regular) Quantity? *

Suggestions or Items you need?

Please note any food allergy here

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BSA Health System is an extensive hospital system in Amarillo, Texas providing clinical excellence to the Texas Panhandle and the tri-state area. BSA is acclaimed for its superior quality and customer service.

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