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School Pantry Program Referral FormStudent Name: ___ Grade: ___The School Pantry is only for students who you feel are chronically hungry. The program provides food to students who might otherwise go without. To refer a student to the School Pantry, refer to Identifying Chronically Hungry Children sheet and please check one or more of the following behaviors that the student displays on a regular basis.Rushing food lines during meal serviceExtreme hunger on Monday
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01
Download the school-pantry-referral-form.docx file.
02
Open the file in a word processing application.
03
Read through the instructions provided at the top of the form.
04
Fill in the student's personal information in the designated fields.
05
Provide details about the household circumstances and need for assistance.
06
Include any required documents or identification if necessary.
07
Review the completed form for accuracy and completeness.
08
Save the document in a safe location.
09
Submit the form according to the school's instructions (via email, in-person, etc.).

Who needs school-pantry-referral-formdocx - dare to?

01
Families who are facing financial hardship.
02
Students in need of supplemental food resources.
03
School staff or counselors who are assisting students in need.
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Community organizations that support families with basic needs.

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The school-pantry-referral-formdocx is a document used to refer students in need of food assistance to a school pantry program.
Teachers, counselors, or other school staff who identify students experiencing food insecurity are required to file this form.
To fill out the form, provide the student's personal information, including their name, grade, and specific needs, and submit it to the designated pantry coordinator.
The purpose of the form is to streamline the process of connecting students with available food resources at the school pantry.
The form must report the student's name, grade, food needs, and referral source, along with any additional comments related to their situation.
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