3SquaresVT Inquiry

If you would like more information about 3SquaresVT, please fill out this form and a SEVCA staff member will reach out to you.

* First Name
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* Last Name
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* Town
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* Phone Number
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Email
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* How do you prefer to be contacted?
What is your preferred language?
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Is anyone in your household 60 years or above?
Is anyone in your household a college student?
Is anyone in your household a child under 5 or currently pregnant?
How many people are in your household? (In other words, how many people share finances and food together?)
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Comments and Questions:
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What led you to reach out to SEVCA about 3SquaresVT today?
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