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Apple Crunch Day Sign-Up
10/18/2022
1.
What is the name of your organization?
2.
Who is the point of contact?
Name
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Email Address
Phone Number
3.
How did you hear about Apple Crunch Day?
4.
Is this your first time participating in Crunch Day?
Yes
No
5.
Which of the following do you expect to participate in your Crunch Event? (Select all that apply.)
Early Care and Education Centers
K-2 Classrooms
3-5 Classrooms
6-8 Classrooms
High School Classrooms
College Classrooms
Virtual Classrooms
Hospitals
Other (please specify)
6.
Where will you be hosting your Crunch Day? (Select all that apply.)
Cafeteria
Classroom/Lecture Hall
Auditorium
Outdoor Stadium
Virtually
Other (please specify)
7.
What is the estimated or expected number of participants in your Apple Crunch event?
DON'T FORGET:
Visit the Alabama Farm to School Facebook page for the
live
crunch event on October 18th at 10:45AM.
Facebook.com/AlabamaFresh
Current Progress,
0 of 7 answered