How Can We Help YOU!Because hunger doesn’t take the weekend off! Name * First Name Last Name Email * Submitter Role * Phone * (###) ### #### If you are a Backpack Buddy Program Sponsor, please state your organization. * School 1 name and number of students * School 2 name and number of students School 3 name and number of students School 4 name and number of students School 5 name and number of students School 6 name and number of students School 7 name and number of students School 8 name and number of students School 9 name and number of students School 10 name and number of students Total Number of Students Total Number of Weeks Requested Weekend Bag Calculation (Please calculate using # of students and weeks above at $8 per bag.) Current Source of Food (If you get your food from a Backpack Buddy Sponsor, where do they purchase their food?) Anything else you want to tell us about your request? Name the grant check should be written to. (This should match your w-9) May we share this grant information on our social media sites if the grant is approved? Total $ Grant Request (Should be the sum of total weekend bag amount, plus supplemental bag amount, plus any supplies, gift cards, or other amounts.) Please email a copy of your organizations most recent w-9 to keith@bbfloudoun.org Thank you!