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Nutrition Services » 2022- 2023 Student Benefit Form

2022- 2023 Student Benefit Form

Link to Benefits Form 1.docx

Fillable 22-23_student benefit program

https://family.titank12.com/income-form/new?identifier=LVZ3Z8

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PO Box 400, North Fork, CA 93643 Phone: (559) 877-6209

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Non-Discrimination Statement

The Chawanakee Unified School District prohibits discrimination, intimidation, harassment (including sexual harassment) or bullying based on a person’s actual or perceived age, ancestry, color, disability, ethnicity, gender, gender expression, gender identity, genetic information, immigration status, marital status, medical information, national origin, parental status, pregnancy status, race, religion, sex, sexual orientation, or association with a person or group with one or more of these actual or perceived characteristics. For questions or complaints, contact Equity Officer and Title II, Title V, and Title IX Compliance Officer: Marcy Guthrie, Ph.D., Superintendent, 26065 Outback Industrial Way, O’Neals, CA 93645 or P.O. Box 400 North Fork, CA 93643, (559) 877-6209, [email protected] or District Special Education and 504 Coordinator, Kelli Bryant, 26065 Outback Industrial Way, O’Neals, CA 93645 or P.O. Box 400 North Fork, CA 93643, (559) 877-6209 [email protected]

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