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Education Department Survey
We are sending care packages to our students who are away from home. Please take some time to provide information for us to show our love.
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* Indicates required question
Email
*
Your email
Do you have a child away at school
Yes
No
Clear selection
Name of Student
Your answer
School Name
Your answer
School Address
Your answer
Student Email
Your answer
Year in School
Freshman
Sophomore
Junior
Senior
Clear selection
Phone Number
Your answer
Dietary Restrictions
Vegetarian
Vegan
Gluten-free
None
Other:
Clear selection
Allergies
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Email
Your answer
Option 1
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Submit
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