OST/School Nutrition Snack Application 2023-24

OST/School Nutrition Snack Application 2023-24

Please complete this form to order snacks for your program; updated each time there is a change to your roster (attaching below). Please direct questions about the snack program to Mallory Packard (Mallory.Packard@clevelandmetroschools.org)

Name of School*

Select

New Application or Snack # Increase Request?*

New Application

Increase Request

Name of Organization*

Program Administrator Name*

Program Administrator Phone Number*

Phone

Program Administrator Email*

Site Supervisor Name*

Site Supervisor Phone*

Phone

Site Supervisor Email*

Organizaton Mailing Address*

Program Start Date*

Program End Date*

During which day(s) of the week do you provide programming?*

Select

What time does programming start?*

What time does programming end?*

Is the site active in the National School Lunch Program?*

(All CMSD schools are active in this program)

Select

Are there regularly scheduled activities supervised to include educational or enrichment activities?*

Select

Is the program open to all children?*

Select

Snack Begin Time *

Snack End Time *

Type of Program/Activity*

Please upload documents here:*

Please submit your roster for your program

(Note: All rosters must include names, grades, and ID numbers of scholars for snack distribution)

Drag and drop files here or

Send me a copy of my responses

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