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Tech Backpack Program Enrollment Form
Oakland Tech has been approved for the Backpack Program through the Alameda County Food Bank for the 2018-2019 school year. The Backpack Program provides students at Tech, Emerson and Claremont identified as having food insecurity with 7-9 pound bag of non-perishable food every two weeks. Any student or family may enroll any time throughout the school year, and will be added to the next distribution after enrollment.

If your household is experiencing food insecurity and would like to enroll please complete the following information. A coordinator will be in contact with you to explain the program and add you to the contact list.

Parent/Guardian Name: *
Your answer
Phone Number: *
Your answer
Email Address:
Your answer
Student Name: *
Your answer
Number of adults, children and seniors living in the household: *
Your answer
Any food allergies? *
If yes, please explain:
Your answer
How does the student get home? *
Would you be willing/able to pick up the bag on delivery day? *
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