Remote Meal Delivery Survey
Nepali translation available:
https://drive.google.com/file/d/1ZRFpnxaZOL29Z9lGjci-HEAHz9sX0FPG/view?usp=sharing
We will be trying something new for the month of January: delivering meals to 16 centralized locations beginning 1/20/21. If you are interested, please indicate below how many children in the household are aged 1-18. Please also indicate if there are allergy concerns.
Meals will be delivered to predetermined bus stops. You will need to come to the bus drop off location at the assigned time to receive your meals. We encourage you to bring a wagon if multiple children in your household receive meals. Each child will receive up to 7 days worth of breakfast and lunch meals, and 1 gallon of milk.
There is no cost for this program as The USDA is providing the meals free through this school year. Children do not need to be present for meal pick up. Meal deliveries will occur between 9 a.m. and 12:30 p.m. Specific route details and times will be emailed once routes are finalized. Please make sure to socially distance; masks are required to pick up meals. All meals will arrive via Licking Heights school bus.
* Required
Please enter your email address as this will be our method of communication in relation to meal changes or delivery changes.
*
Your answer
Please enter the last name of your children for meals.
*
Your answer
How many children reside in your household between the ages of 1-18 that need meals?
*
1
2
3
4
5
6
7
8
9
10
Each student is eligible for 1 gallon of milk per week. Please enter how many fat free chocolate, and how many 1% white gallons you would like below.
*
1 Gallon White Milk
2 Gallons White Milk
3 Gallons White Milk
4 Gallons White Milk
5 Gallons White Milk
6 Gallons White Milk
1 Gallon Chocolate Milk
2 Gallons Chocolate Milk
3 Gallons Chocolate Milk
4 Gallons Chocolate Milk
5 Gallons Chocolate Milk
6 Gallons Chocolate Milk
No milk please
Required
Do you have any children who have food allergies?
*
Yes
No
Please indicate the allergy below: Please do not select preferences. These need to be documented food allergies. Please check all that apply.
Milk
Eggs
Wheat/Gluten
Peanuts
Tree Nuts
Shellfish
Soy
Fish
Not applicable
How many of the students need the above allergy meals?
Your answer
Please select a delivery/pickup location from the options below:
*
Broadmoor Commons (on Redhaven Court)
Cleveland Road Trailer Park (on Rosie Avenue)
Jefferson Chase Apartments (on Jefferson Chase Way)
Jersey Baptist Church ( in parking lot)
Target/Meijer Apartments (on Prestwick Mill)
Borders Place (on Straw Court)
Brooksedge East (on Bellebrooke Court)
Brooksedge West (on Bellcrest Court)
Firstgate (on Bellow Park, north of Rodebaugh)
Taylor Estates (on Faith Ann Drive)
West Elementary (on school lot out front)
Leads Center (on Adams Lane near leads center)
East Pointe Church (church parking lot or along the street near church)
Settlement of Pataskala (on Alonzo Palmer Street
Central Intermediate School ( side door to cafeteria along front sidewalk)
Cedar Run (at Bent Oak)
Woods at Jefferson (Tourmaline)
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