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Bulldog Pantry Request
Please complete this in order to be on the weekly supplies list.
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student ID#
*
Your answer
Number of Children in home
*
Your answer
Preferred Language
*
English
Spanish
Other:
Number of Adults in home
*
Your answer
Do you need weekly food basket with basic items (Rice, Canned items, pasta, etc.)
*
Yes
No
Do you need additional information or resources on how to obtain household items and needs from community supporters?
*
Yes
No
Do you need personal/hygiene items? These items may not be readily available at the day/time of pick up and may require additional coordination
*
Deodorant
Toothpaste, Toothbrushes
Shampoo, Conditioner
Body Soap
none
Required
Does your student need any school supplies?
*
Yes
No
How will these items be transported?
*
Parent will pick up items on Thursday between 2pm and 4pm from the front office
Student will pick up items during 6th period from the pantry
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