San Francisco 49ers
Hometown Grant Kit

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* 1. Enter Contact Information

First Name *

Last Name *

School Name *

School Address *

City *

State *

ZIP *

School District

Email Address *

Phone Number *

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* 2. How does your school support healthy eating?

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* 3. Give three examples of how your school supports healthy eating.

Example 1:

Example 2:

Example 3:

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* 4. Upload a photo (optional)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 5. How does your school support physical activity?

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* 6. Give three examples of how your school supports physical activity.

Example 1:

Example 2:

Example 3:

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* 7. Upload a photo (optional)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 8. Do you have a student leadership team?

Yes

No

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* 9. How will you use the Hometown Grant Kit?

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* 10. Enter the link to your video. If it is password protected, please enter the password as well.

Video Link:

Password (if applicable):