STATE OF DELAWARE DEPARTMENT OF PUBLIC INSTRUCTION



| |Delaware Department of EDUCATION | |

| |401 Federal Street, Suite 2 Dover, DE 19901 | |

|Approved by |Summer Food Service Program |Sponsor |

| |Schedule C | |

|Date |Five Day Menu Planner |Agreement # |

| |(Submit Two Weeks Rotation) | |

| | |Telephone |

|WK. 1______ 2______ 3______ |DAY 1 |DAY 2 |DAY 3 |DAY 4 |DAY 5 |

REQUIRED COMPONENTS |Food Item |Por-

tion Size |Food Item |Por-

tion Size |Food Item |Por-

tion Size |Food Item |Por-

tion Size |Food Item |Por-

tion Size | |BREAKFAST: | | | | | | | | | | | |1. Fruit or Vegetable | | | | | | | | | | | |2. Grain | | | | | | | | | | | |3. Milk | | | | | | | | | | | |AM SELECT 2: | | | | | | | | | | | |1. Meat/Meat Alternate | | | | | | | | | | | |2. Fruit or Vegetable | | | | | | | | | | | |3. Grain | | | | | | | | | | | |4. Milk | | | | | | | | | | | |LUNCH: | | | | | | | | | | | |1. Meat/Meat Alternate | | | | | | | | | | | |2. Fruit or Vegetable | | | | | | | | | | | |3. Fruit or Vegetable | | | | | | | | | | | |4. Grain | | | | | | | | | | | |5. Milk | | | | | | | | | | | |PM SELECT 2: | | | | | | | | | | | |1. Meat/Meat Alternate | | | | | | | | | | | |2. Fruit or Vegetable | | | | | | | | | | | |3. Grain | | | | | | | | | | | |4. Milk | | | | | | | | | | | |DINNER: | | | | | | | | | | | |1. Meat/Meat Alternate | | | | | | | | | | | |2. Fruit or Vegetable | | | | | | | | | | | |3. Fruit or Vegetable | | | | | | | | | | | |4. Grain | | | | | | | | | | | |5. Milk | | | | | | | | | | | |

PORTION SIZE MUST BE INDICATED ON FORM FOR EACH MEAL TYPE

This institution is an equal opportunity provider.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download