Colville School District Bite2Go - Student Self-Referral

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Bite2Go addresses the weekend meal gap in a discreet way by delivering food directly to you at school every Friday, providing the nutrition you need over the weekend so you can come to school ready to learn on Monday. There are no income requirements and the program is free, confidential, and non-judgmental. Use the confidential form below to sign up for the program.

Once the form is submitted, someone from Bite2Go will reach out to you to confirm your participation and discuss where and when you will pick up your food package each week. If you have any questions or concerns, you can email Alison Price, Youth Program Manager, at aprice@ruralresources.org.

Your Name: *

Preferred Method of Contact: *

Phone

Face-to-Face @ my school

Other:

Required

Contact Info: *

Where do you attend school? *

What grade are you in? *

I would like to pick up my weekly food package from: *

A trusted teacher's classroom or staff member's office

A different confidential location (the main office, the counseling office, etc.)

Other:

If you selected "trusted teacher or staff member", who would you like that to be?

I am 13 years of age or older and can thereby consent to participating in this program *

Yes

No, I am 12 years old or younger

Required

I have more questions about Bite2Go and I would like someone from Bite2Go to reach out to me for further discussion.

Yes, reach out to me for further discussion

OPTIONAL: Is there anything else you'd like to share?

Submit

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