Monthly Statistics & Census

In an effort to gain a more accurate picture of who our Agency Partners are serving on an annual basis, we have decided to change the monthly reporting process.  Please read below to learn more about these new processes.

Pantry Client Sign-in Forms (No USDA/TEFAP products)

We have put together a selection of sample Client Intake Forms. If you are looking to update your client intake process, please feel free to use one of the below forms. You may also modify any of the forms to fit your program's needs.


Client Sign-in: Vertical

Client Sign-in: Horizontal

Client Intake: Two-sided


Registro de la Despensa: Vertical

Registro de la Despensa: Horizontal

Registro de la Despensa: Dos lados

Pantry Client Sign-in Forms (Must use for USDA/TEFAP)


USDA Client Sign-In: Vertical format

USDA Client Sign-In: Horizontal

USDA Client Sign-In: Half page


USDA Client Sign-In: Vertical

USDA Client Sign-In: Horizontal

USDA Client Sign-In: Half Page

Additional USDA Forms and Information

Civil Rights Training for Volunteers (English)

Civil Rights Training for Volunteers (Spanish)

Temp Log


Monthly Statistics Form

Please use Agency Express to submit your Monthly Statistics Form by the first of every month. This form will help prepare your answers.

Monthly Statistics Form (English)

Monthly Statistics Form (Spanish)


Please watch our 12 minute instructional video for tips and suggestions on how to conduct your Census. This video highlights an efficient way to do client intake during the Census, and can help answer some common questions that your clients may ask.

Watch the Census Training Video


  • fill the plate logo rotator

    Three Square is challenging Southern Nevada to "Fill the Plate" during Hunger Action Month.

    Take Action

  • website map partners

    Locate nearby food pantries and meal sites by using our map.

    Search for a site

  • breakfast power threesquare

    Kids who eat breakfast do better in school!

    Discover Breakfast Power

  • special offers threesquare

    Support Three Square's mission by taking advantage of year-round special offers.

    View offers

  • snap threesquarecenter website

    Need help applying for SNAP and other assistance programs? Call The Three Square Center.


Stay Informed

Get the Scoop with our E-Newsletter!