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FRESH Pantry Appointment Request
The FRESH Pantry is open to all students Monday thru Thursday from 12pm to 2pm and Tuesdays 4pm-6pm Complete this form to schedule an appointment to visit the FRESH Pantry outside of open hours.
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First Name
*
Your answer
Last Name
*
Your answer
W#
*
Your answer
Email Address
*
Your answer
Cell Phone Number
Your answer
What times are you available to come to the FRESH Pantry?
Please select all that apply
Morning
Midday
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Morning
Midday
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Are you part of a Special Program (Please select all that apply)
Umoja
RISE
EXCEL
FRESH Success
Puente
My Sister's Keeper
Other:
Any other comments and/or questions?
Your answer
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