Application for Summer Food Service Program

Summer Food Service Program (SFSP)

Wednesday, June 12, 2013 - Thursday, August 22, 2013

By completing and submitting this application, you understand and agree to:

MEAL REQUIREMENTS AND MEAL SERVICE

  • Children 18 years of age or younger or
  • Individuals 19 and over with a state defined mental or physical disability are eligible to receive meals.
  • Comply with civil laws and regulations in accordance with USDA policy which does not permit discrimination because of race, color, age, sex, handicap or national origin.

As a supervisor of a site, you will

  • Attend your sponsor's training
  • Provide supervision of structured activities
  • Supervisor with trained staff, distribution of meals by following SFSP guidelines
  • Complete and keep daily records of meals received, served and stored
  • Provide appropriate, secure refrigeration and storage areas according to standards prescribed by local health authorities
  • Keep the site clean and sanitary
  • Work closely with SPPS as your sponsor of summer meals
Site Name 
Organization Running Program 
Name of Site Contact Person 
Name of Person(s) Responsible for Meal Service 
Telephone Number ( )___-____  
Address of SFSP 
City 
State 
Zip 
Email 
*Location in building for delivery of meals 
(*where the refrigerator will be - ex. East door off "street" on..., ground floor at end of front hallway)
Location where meals are served 
Has this site participated in SFSP in any prior years
If yes, most recent year 
Total number of children expected daily 
Is this site a non-profit organization
Select only one
Is this site a "Closed Enrolled" or "Open" Site
 

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