Monongalia County 5 Day Meal Box Request (5 breakfasts and 5 lunches delivered to bus stops)

For Delivery Jan. 19, 2021

To request a box of meals for a student, please complete this form for each student. Meals requested through this form will be dropped off at morning High School bus stops on Tuesday, January 19, 2021 approximately 3 hours after their normally scheduled time.

IMPORTANT: All meal requests must be submitted by 10:00 am Friday, January 15, 2021 for delivery on Tuesday, January 19.

Student's School *

Student Name (Full first & last) *

Student Lunch Number (WVEIS ID number) if student has one 🛈

Grade * 🛈

Contact phone number: *

Student's residence address: *

AM High School bus stop for meal box delivery:
Please click here for AM High School bus schedules.
Meal boxes will be at these stops approximately 3 hours after the times listed. *