Community Needs
Brushton-Moira Central School is reaching out to help those in need of additional food, hygiene items, and cleaning supplies. Thanks to the generosity of the Adirondack Foundation, grant funding was awarded to help families in our community.  All residents over the age of 18 in the Brushton-Moira Central School District limits are eligible to apply for support, even if you do not have children.

We will collect responses and purchase local food based on need.  The delivery will be a standard supply based on the need determined by the majority of responses.
 
*This information is confidential and will only be shared with individuals essential in coordinating the delivery of items.

If you have been placed on unemployment or have lost your income, and have children who attend BMC, please complete a child nutrition application for the free and reduced meal program, which can be found on the BMC website.
Sign in to Google to save your progress. Learn more
Email *
Full Name: *
What is the best phone number to reach you? *
Email Address *
Number of Individuals living in the household, including yourself? *
Address of Residence: *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brushton-Moira Central School. Report Abuse