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* 1. Some students are hungry at school because their family does not have enough money to stock the house with enough food to keep everyone full. Are you ever hungry because of this reason?

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* 2. Do you skip lunch at school because your family can't afford to pay for school lunch?

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* 3. The Rice Lake School District has a program that gives any student who needs it a FREE bag of food each week to help their family. Would the free bag of food help your family (because there is not always enough food at home to satisfy everyone in your family)?

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* 4. If the high school had a room where students could go to obtain FREE snacks during the school day, would you go there to get food (because you are unable to pay for food or get food anywhere else)?

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* 5. The program to receive a FREE bag of food each week is PRIVATE and CONFIDENTIAL. No other students will know if you are getting a bag of food. If you would like to start receiving a FREE bag of food each week, please write your name in the space below, and someone will contact you.

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* 6. The high school has a "Caring Closet." This is a closet accessible to all students who need toiletry or hygiene items (deodorant, shampoo and conditioner, toothbrushes and toothpaste, pads, tampons, razors, soap, granola bars, etc.). If you would like someone to show you (in private) how to access these supplies, please write your name in the space below.

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