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Application for relief from QCSD lunch debt: Sponsored by Quakertown Community Outreach
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* Indicates required question
Name of Parent(s)
*
Your answer
Name of Student(s)
*
Your answer
Student(s) age(s)
*
Your answer
Student(s) grade(s)
*
Your answer
Best contact phone number
*
Your answer
Name of school(s) your child(ren) attend
*
Your answer
Email address
Your answer
In order for Quakertown Community Outreach to best assist your family, can you describe your current financial situation and why you are unable to meet your lunch debt obligation?
*
Your answer
Has Quakertown Community Outreach assisted your family in the last 4 years?
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Yes
No
What can the School District do to help alleviate this lunch debt in the future? How can you work with the school to help prevent this from becoming an issue in the future as well?
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Your answer
Check below if your child is on a free or reduced lunch program
*
Free
Reduced
Not on free or reduced program
After submitting your application, please send documentation of the lunch debt to
quakertownoutreach@gmail.com
(a phone picture is fine) which shows the amount owed, the date of the notice, and who the payment is made out to.
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