Thanksgiving Basket Request
** Note: 11/15/17 from Mrs. Manley-
We are in the process of creating baskets and have gathered all submissions from this form. If you did not fill the form out in time and are still in need, please email me directly at so that I can get your contact information.

We will be offering Thanksgiving baskets to families who are identified according to the McKenney-Vento Act. However, we do understand that there are other families within our school who may be experiencing hardships that we are not aware of at this time. The purpose of this form is to help us identify additional families in need. The counselors and student council faculty sponsor will distribute additional baskets based on the responses in these forms. We will have a limited amount of baskets and cannot guarantee that you will receive a basket if you complete this form.

Student's name: *
Your answer
Your name: *
Your answer
Phone number to reach you: *
Your answer
Your email address: *
Your answer
Please, describe for us your current family situation or hardships that you are facing. *
Your answer
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