School Request Form « Regina Food for Learning

Schools please indicate the need in your school

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School Name:

Your Name(Required)

First Last

Street Address

Phone number:

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Is your superintendent aware of your need? Does your admin know you are applying for support?

What is the number of students that require snack/meal?(Required)

How many times a week are the snacks/meals required.

What type of meal is being requested? (snack, breakfast, lunch)

Are there school volunteers available to pick up and distribute food and prepare snacks/meals?

Does the school have sufficient, secure storage space (for both refrigerated and dry goods)?

Is there access to a food preparation or distribution space?

Does the school have access to reusable dishware and utensils?

Will staff that are handling the food be prepared to take a food safety course? Note: Cost ofcourse can be reimbursed by RFFL.

We ask that schools with nutrition funding cover half the cost of the snacks/meals. Does the school have access to nutrition funding?

RFFL relies on donations/grants to purchase food for our program. If the school does not haveaccess to funding, we ask that they host one fundraising event each year with proceeds going toRFFL in order to help fund the program. Is this something your school would be willing toorganize?

School Administrator's Name and contact

55377

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Regina Food for Learning