Moore Care Closet Request
Please complete this form to request a donation from Lyman Moore's Care Closet of food and/or clothing. All requests will be kept confidential and students will be contacted directly to retrieve their items. Students can also ask the social worker or their counselor for help with accessing the Care Closet during the school day.
Sign in to Google to save your progress. Learn more
Email *
What is the student's first name? *
What is the student's last name? *
What is the student's grade? *
Who is the student's advisor?
What do you need from the Care Closet? (You may select more than 1) *
If the student/family is in need of food, please specify what they need and any food allergies or dietary restrictions (e.g. halal, gluten-free, dairy intolerance):
If the student is in need of clothing, please specify what they need and relevant sizes (e.g. medium winter jacket, size 10 basketball shoes):
What item(s) do you need the most?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Portland Public Schools. Report Abuse