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* 1. Site Name

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* 2. Site Address

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

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* 4. Primary Site Contact

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

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* 6. Operating Days for Summer of 2017

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* 7. Approximate anticipated program enrollment

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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:

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

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

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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

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

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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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