Site Name

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* 1. Site Name

Site Address

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* 2. Site Address

What type of site are you requesting meals for

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* 3. What type of site are you requesting meals for

Primary Site Contact

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* 4. Primary Site Contact

Your Program Operation Dates for Summer of 2017 (SFSP will be run from 6/5-8/4)

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* 5. Your Program Operation Dates for Summer of 2017 (SFSP will be run from 6/5-8/4)

Operating Days for Summer of 2017

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* 6. Operating Days for Summer of 2017

Approximate anticipated program enrollment

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* 7. Approximate anticipated program enrollment

SFSP generally serves breakfast and lunch to all locations. Is this acceptable for your program, or are you requesting alternate accommodations:

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* 8. SFSP generally serves breakfast and lunch to all locations. Is this acceptable for your program, or are you requesting alternate accommodations:

Do you have internet access (preferably WiFi) on-site where the meals were be served:

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* 9. Do you have internet access (preferably WiFi) on-site where the meals were be served:

Are you and your staff able to attend the program-required training in May

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* 10. Are you and your staff able to attend the program-required training in May

Will you have a trained staff member on site during all meal services that are able to tally the meals as they are served

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* 11. Will you have a trained staff member on site during all meal services that are able to tally the meals as they are served

In case of transportation difficulties, are you able to pick up your meals from the nearest school location?

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* 12. In case of transportation difficulties, are you able to pick up your meals from the nearest school location?

Do you have any other questions or concerns that we need to be made aware of?

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* 13. Do you have any other questions or concerns that we need to be made aware of?

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