Summer Feeding 2023 Application

Site Information

The Second Harvest Summer Feeding Program provides free meals and snacks to low-income children during the summer months. The Summer Food Service Program is a United States Department of Agriculture funded program administered at the state level by the Department of Education. This survey ensures that we identify strong summer partnerships across our network. To participate in the Summer Food Service Program, your agency must be a federal tax exempt agency. The following questions will help determine your agency's eligibility for program participation.

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* 1. What is the name of your organization?

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* 2. Which one of the following best describes your organization/agency?

Public or Nonprofit Organization only

Public of Nonprofit Private Residential Summer Camp

State, Local, Municipal, or Parish Government Facility

Other (please specify)

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* 3. Please enter your organization's Tax Identification Number (TIN). This information is required to register your site with the Department of Education.

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* 4. Please enter the physical address where your site will be located.

Street Address

City

ZIP Code

Parish

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* 5. Please enter the name of the school located nearest to your program site.

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* 6. Does your program operate in another organization's building?

Yes

No

Other (please specify)

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* 7. Please enter the name and contact information for the person who will be primarily responsible for managing your Summer Feeding site (Site Supervisor).

Name

Job Title

Work Phone

Cell Phone

Email

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* 8. Please enter the name and contact information for an alternate point of contact at your Summer Feeding site.

Name

Job Title

Work Phone

Cell Phone

Email Address