Copy of CK Schools: Meal Access Survey

Help Needed to Access Meals

We understand that some families may not be able to travel to our meal pickup sites.

At this time, we cannot guarantee that we can add pickup sites or deliver meals. But we want to know your needs. We are working with community partners and checking our staff availability to see if we can accommodate your needs.

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* 1. How many children -- age 18 and under --- need a meal?

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* 2. Some families may not be able to access one of our listed pickup sites. But some may be able to get to a school. Is your child(ren) able to travel to any of our schools?

Yes

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* 3. Which school do you live closest to?

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* 4. Your street address

Apartment Complex Name

Address

Address 2

City/Town

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* 5. Your Name

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* 6. Your email or, if you do not have email, your phone number

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* 7. Please briefly describe your challenge to accessing meals. Are you unable to go to a school during pickup times? Unable to travel to a pickup site?