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IES Families in Need of Food Assistance
If your family is in need of assistance with food at any time during our school closure, please complete this form.
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* Indicates required question
Email
*
Your email
How immediate is your family's need for food at this time?
*
Need Immediately (out of food today)
Need by Tomorrow (out of food by tomorrow)
Need Sometime Over the Next Week (running low on food but currently have enough)
Parents/Guardian Full Name
*
Your answer
Best phone number to reach parent/guardian
*
Your answer
Address for food to be delivered to:
*
Your answer
Number of Adults in the Home:
*
Choose
1
2
3
4
5
Number of Children in the Home:
*
Choose
1
2
3
4
5
6
7
8
9
10
Any additional information you think we need to know.
Your answer
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