Summer Food Service Program Eligibility Assessment

Summer Food Service Program Eligibility Assessment

The Summer Food Service Program (SFSP) Eligibility Assessment will be used to determine if your organization is eligible to apply for SFSP participation. Eligible organizations must be a public or a non-profit organization, and operators or the organization itself cannot currently be on the USDA National Disqualified List. If the organization or its operators are currently on the National Disqualified List, the organization is not eligible to apply.

Applications for new SFSP sponsor open in January and eligibility assessments are due by March 1st to be considered for the upcoming summer. If this assessment is completed outside of the application time frame, and your organization is eligible, you will be contacted once applications open.

In the event your organization needs to operate SFSP outside of the typical summer months due to an emergency, contact Oregon Department of Education Child Nutrition Programs (ODE CNP) for more information at ode.communitynutrition@ode.oregon.gov.

Assessment Instructions: Please complete the following eligibility questions. You will be contacted by e-mail by ODE CNP about your eligibility status and, if eligible, the application process.

General Information

Organization Name*

Organization Address*

Address Line 1

Address Line 2

City, State, Zip Code

Name of Person Completing This Form (First and Last Name)*

Contact Person's E-mail*

This must be the e-mail for the person completing this form.

DOB*

Does the organization provide year-round services?*

Select or enter value

Is the org registered with the Secretary of State?*

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Is the organization a non-profit?*

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Type of Organization

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Sites and Meal Service

Who do you plan to serve with this meal program?*

For example: community children, camp participants, etc.

Have you determined where meals will be served?*

ODE refers to the places that meals are served as "sites."

Select or enter value

List of potential sites with addresses*

Include name of site(s) and street address(es) with City/ State/ Zip

Does the organization have the ability to purchase or to prepare and serve meals and/or snacks?

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Will the site have regularly scheduled food service?

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Federal Program Participation

Have any of the proposed sites been operated as a Summer Meal site under another sponsor?*

Select

Please provide information regarding the sponsor, types of meals served, and when the site last operated under them.*

If the applicant organization operates other federal Child Nutrition Programs, please select them below

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Does the org have a UEI number?

UEI stands for Unique Entity Identifier

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UEI number

Have you, the organization, or any of its principals ever been disqualified from participation in any other publicly funded program?*

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Are you, the organization, or any of its principals on the USDA National Disqualified List?*

Select or enter value

Have you, or any of your organization’s board members or principals been convicted for fraud, antitrust violations, embezzlement, theft, forgery, bribery, falsification or obstruction of justice during the past seven years?*

Select or enter value

Do you or your organization currently participate in USDA Child Nutrition Programs (NSLP, CACFP, SFSP) in another state outside of Oregon?*

Select or enter value

Please provide the states and/or programs that your organization participated.*

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