Nurtition Services, Saint Paul Public Schools
1930 Como Ave.
Saint Paul, MN 55108
651-603-4950 | firstname.lastname@example.org
Summer Food Service Program (SFSP)
Tuesday, June 14, 2016 - Friday, August 26, 2016
Please complete your application by Friday, April 15th to be part of the Summer Food Service Program.
By completing and submitting this application, you understand and agree to:
MEAL REQUIREMENTS AND MEAL SERVICE
As a supervisor or staff member of a site, you will in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)
Nondiscrimination Statement - Read in Hmong, Karen, Somali, and Spanish: In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the informaiton requested in the form. To request a copy of the complaint form, call (866)632-9992. Submit your completed form or letter to USDA by:
(1) mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: email@example.com.
This institution is an equal opportunity provider.
Saint Paul Public Schools, District 625 | 360 Colborne Street, Saint Paul, MN, 55102 | 651-767-8100 | firstname.lastname@example.org
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