JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Double Up Food Bucks Community Meetings
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name:
*
Your answer
What county do you serve? (choose all that apply)
*
All Nebraska counties
Adams
Antelope
Arthur
Banner
Blaine
Boone
Box Butte
Boyd
Brown
Buffalo
Burt
Butler
Cass
Cedar
Chase
Cherry
Cheyenne
Clay
Colfax
Cuming
Custer
Dakota
Dawes
Dawson
Deuel
Dixon
Dodge
Douglas
Dundy
Fillmore
Franklin
Frontier
Furnas
Gage
Garden
Garfield
Gosper
Grant
Greeley
Hall
Hamilton
Harlan
Hayes
Hitchcock
Holt
Hooker
Howard
Jefferson
Johnson
Kearney
Keith
Keya Paha
Kimball
Knox
Lancaster
Lincoln
Logan
Loup
Madison
McPherson
Merrick
Morrill
Nance
Nemaha
Nuckolls
Otoe
Pawnee
Perkins
Phelps
Pierce
Platte
Polke
Red Willow
Richardson
Rock
Saline
Sarpy
Saunders
Scotts Bluff
Seward
Sheridan
Sherman
Sioux
Stanton
Thayer
Thomas
Thurston
Valley
Washington
Wayne
Webster
Wheeler
York
Required
What times are you available for a reoccurring meeting? (choose all that apply)
9:00-10:00 AM
10:00-11:00 AM
11:00 AM-12:00 PM
12:00-1:00PM
1:00PM-2:00PM
2:00PM-3:00PM
3:00PM-4:00PM
First Monday of the Month
First Tuesday of the Month
First Wednesday of the Month
First Thursday of the Month
First Friday of the Month
Second Monday
Second Tuesday
Second Wednesday
Second Thursday
Third Monday
Third Tuesday
Fourth Monday
Fourth Tuesday
Fourth Wednesday
Fourth Thursday
Fourth Friday
9:00-10:00 AM
10:00-11:00 AM
11:00 AM-12:00 PM
12:00-1:00PM
1:00PM-2:00PM
2:00PM-3:00PM
3:00PM-4:00PM
First Monday of the Month
First Tuesday of the Month
First Wednesday of the Month
First Thursday of the Month
First Friday of the Month
Second Monday
Second Tuesday
Second Wednesday
Second Thursday
Third Monday
Third Tuesday
Fourth Monday
Fourth Tuesday
Fourth Wednesday
Fourth Thursday
Fourth Friday
Do you have any additional comments/questions?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report