* 1. Site Name

* 2. Site Address

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

* 4. Primary Site Contact

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

* 6. Operating Days for Summer of 2017

* 7. Approximate anticipated program enrollment

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

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

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

* 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

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

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

T