School Market Application Form Question Title * 1. Please provide the following information Your Name Your Title/Role in relation to the school Preferred Email Address Preferred Phone Number School Name School District Question Title * 2. Are you currently operating a School Market? Yes No In Development Question Title * 3. What is the Free and Reduced lunch percentage of the School District? Less than 40 percent Between 40-69 percent Over 70 percent Question Title * 4. Do you have approval from administration to open a School Market? Yes No Not Yet Question Title * 5. What level of support would you say the School Market has from school administration and staff? High Medium Low Question Title * 6. Please describe how the School Market operates, including staffing and distribution, the number of visits, etc. Question Title * 7. Is there an organization who will be sponsoring the School Market with their 501(c)3 status? (If you have a 501(c)3, please continue the questions below, otherwise stop here and submit the form.) Yes No Question Title * 8. What is their 501(c)3 number? Question Title * 9. Upload a copy of the 501(c)3 Declaration Letter. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload a copy of the 501(c)3 Declaration Letter. Question Title * 10. Upload a copy of the School Market Budget. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload a copy of the School Market Budget. Question Title * 11. What is the name of the 501(c)3 organization and the contact information to reach them? Organization Name Contact Person Contact Person's Email Contact Person's Phone Number Question Title * 12. Additional Comments Submit
