Colville School District Bite2Go - Staff Referral
Bite2Go addresses the weekend meal gap in a discreet way by delivering food directly to a student at school every Friday, providing the nutrition kids need over the weekend so they can come to school ready to learn on Monday. Use the confidential form below to refer a student to the program.  
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Email *
Name of Student *
School Attended by Student *
Grade of Student *
Name of Referring Staff/Faculty:
Staff/Faculty Contact Info:
I have spoken directly with the student about the Bite2Go program and they would like to participate. *
Required
If the student is aged 12 or younger, they have obtained parent/guardian permission for the student to participate in Bite2Go. *
Required
I have not spoken directly with the student or their parent/guardian about the Bite2Go program but I believe the student is a good fit, and I would like someone from Bite2Go to reach out to me for further discussion. *
Required
I would feel comfortable being the "trusted teacher" for this student and would agree to accept delivery of food on behalf of this student once a week.
OPTIONAL: Is there anything else you'd like to share?
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