MFBN Backpack and School Pantry Interest 
Note: this is not an application. It is just a way for MFBN to collect information on who has interest in starting up a program. We will reach out to you once you submit this form as capacity allows. Thank you for your time and interest! 

If you don't hear from us in a week, please email childnutrition@mfbn.org to make sure we get to you! Thanks! 
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Name of school or organization *
City (where program would be)  *
Contact Name *
Contact Email *
Contact Phone Number *
Which program are you interested in?  *
How many students do you estimate you would serve? *
What role would you have in this program (connecting MFBN to someone at the school, setting up the program, running day-to-day distribution, funding, etc.)  *
Questions/comments/concerns?  *
How did you hear about us? *
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