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* 1. Please provide the following Information:

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* 2. Which state does your site operate in?

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* 3. Have you participated with UMCFood in the food program in the past (either during the Summer or School Year)

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* 4. What school district is your site located in?

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* 5. Please provide the following information:

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* 6. Is your site located inside a public school?

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* 7. If YES, what school is your site located in?

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* 8. Are you a non-profit organization?

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* 9. Is your site open to all children, or just those who are enrolled in your program?
(if your site is FOR PROFIT your site MUST be OPEN)

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