Thank you for making breakfast a priority!  By completing this short form you will be entered in the Breakfast Challenge and eligible to receive funding for your school. If you have any questions please contact Second Harvest Food Bank of Northeast Tennessee's Children's Program Coordinator, Ashley Penley at feedthekids@netfoodbank.org or (423)279-0430 Ext 204. 

Primary Contact (please include name, title, email address, and phone number)

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* 1. Primary Contact (please include name, title, email address, and phone number)

School District (schools in the following 9 school districts are eligible to apply).

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* 2. School District (schools in the following 9 school districts are eligible to apply).

Please briefly describe the school(s) in which you are applying for and their current breakfast program.

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* 3. Please briefly describe the school(s) in which you are applying for and their current breakfast program.

Which breakfast program have you implemented (or hope to implement) this school year?

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* 4. Which breakfast program have you implemented (or hope to implement) this school year?

What are the current barriers faced by your school(s) in providing breakfast to students? 

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* 5. What are the current barriers faced by your school(s) in providing breakfast to students? 

Please describe your breakfast implementation plan and your general timeline for the rollout of the program(s).  What are the projected benefits and how do you believe it will help you address the barriers you described above.

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* 6. Please describe your breakfast implementation plan and your general timeline for the rollout of the program(s).  What are the projected benefits and how do you believe it will help you address the barriers you described above.

Please indicate how your school(s) would use this funding for the breakfast program or other school improvements.  Please include name, unit cost, and quantity if applicable (e.g. Description 1: 8-6x6x16 footers @ $121.21 each = $969.68

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* 7. Please indicate how your school(s) would use this funding for the breakfast program or other school improvements.  Please include name, unit cost, and quantity if applicable (e.g. Description 1: 8-6x6x16 footers @ $121.21 each = $969.68

Additional comments regarding your interest in the FY18 School Breakfast Challenge that have not been addressed in the previous questions?

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* 8. Additional comments regarding your interest in the FY18 School Breakfast Challenge that have not been addressed in the previous questions?

Are you interested in having a breakfast event to celebrate Dr. Seuss's Birthday and National School Breakfast Week (March 2-9)?  Your answer to this question will not be included in the selection process.

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* 9. Are you interested in having a breakfast event to celebrate Dr. Seuss's Birthday and National School Breakfast Week (March 2-9)?  Your answer to this question will not be included in the selection process.

Do you fully understand and agree to comply with the Breakfast Challenge rules and eligibility criteria (see FY18 Breakfast Challenge Rules)?  Failure to comply with any of the conditions and requirements, as solely determined by Second Harvest Food Bank of Northeast Tennessee, can result in the discontinuance of participation.

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* 10. Do you fully understand and agree to comply with the Breakfast Challenge rules and eligibility criteria (see FY18 Breakfast Challenge Rules)?  Failure to comply with any of the conditions and requirements, as solely determined by Second Harvest Food Bank of Northeast Tennessee, can result in the discontinuance of participation.

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