School Market Application Form

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* 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

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* 2. Are you currently operating a School Market?

Yes

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* 3. What is the Free and Reduced lunch percentage of the School District?

Less than 75%

More than 75%

Unsure

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* 4. Do you have approval from administration to open a School Market?

Yes

Not Yet

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* 5. What level of support would you say the School Market has from school administration and staff?

High

Medium

Low

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* 6. Please describe how the School Market may operate (staffing, distribution, number of visits, target audience etc.)

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* 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

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* 8. What is their 501(c)3 number?

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* 9. Upload a copy of the 501(c)3 Declaration Letter.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 10. Upload a copy of the School Market Budget.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 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

School Market Application Form

Question Title

* 1. Please provide the following information

Question Title

* 2. Are you currently operating a School Market?

Question Title

* 3. What is the Free and Reduced lunch percentage of the School District?

Question Title

* 4. Do you have approval from administration to open a School Market?

Question Title

* 5. What level of support would you say the School Market has from school administration and staff?

Question Title

* 6. Please describe how the School Market may operate (staffing, distribution, number of visits, target audience 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.)

Question Title

* 8. What is their 501(c)3 number?

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* 9. Upload a copy of the 501(c)3 Declaration Letter.

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* 10. Upload a copy of the School Market Budget.

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* 11. What is the name of the 501(c)3 organization and the contact information to reach them?

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* 12. Additional Comments