Port Townsend School District Family Emergency Needs Survey

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We are aware that many of our families have had unexpected changes to their income and employment status due to the current crisis. We know many families now have needs for assistance to meet basic needs. The school district is working closely with many community agencies to provide additional support as we are able. This survey will help us learn about family needs and we will meet as many requests as possible, but we may not be able to meet all needs. Each family with emergency needs only needs to complete this survey once.

Parent/Guardian First and Last Name

Student Names (First and Last) and Grades

Phone

Which one of these supports does your family need? Select all that apply.

Supplemental weekend food package for pick up at a free meal site.

Daily free breakfast and lunch delivery for youth ages 0-18, because they are unable to make it to one of the four free meal sites.

Supplemental weekend food package for delivery because we are unable to make it to one of the four free meal sites.

If you are using one of our free meal sites, which one are you using?

How many youth ages 0-18 are in your home?

How many adults are in your home?

If you selected options above for delivery, what is your address?

Are there any other resources that your family needs help with accessing?

Anything else you would like to let us know about how we can support your family.

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