Oregon Department of Education .us



Oregon Department of EducationOffice of Learning/Student Services255 Capitol St. NEChild Nutrition ProgramsSalem, OR 97310Hazel Randolph (503) 947-5894FAX (503) 378-5156SUMMER FOOD SERVICE PROGRAMAPPLICATION CHECKLISTInstructions:Check completed and/or enclosed documentsSubmit the checklist and application documents to the Community Nutrition email Inbox at munitynutrition@ode.state.or.us Submit all applicable application materials no later than May 13ODE CNP will conduct an on-site pre-approval visit no later than June 15Program Name: FORMTEXT ????? Date: FORMTEXT ?????Check if enclosedDocumentsInstructions FORMCHECKBOX State Agency-Sponsor Agreement or Amended State Agency-Sponsor Agreement (if current CNP sponsor)Complete, sign, date, and enclose two copies.One signed original copy will be returned for your files. FORMCHECKBOX IRS non-profit status letter – 501(c)(3)Enclose a copy FORMCHECKBOX CNPweb New Sponsor Information formComplete and enclose a copy FORMCHECKBOX CNPweb Add Site/Modify Site formComplete and enclose one form for each site to be added in CNPweb FORMCHECKBOX CNPweb User Authorization Request and Certification formComplete and enclose one form for each staffrequiring access to CNPweb FORMCHECKBOX BudgetEnclose and submit in CNPweb FORMCHECKBOX Management Plan Submit in CNPweb FORMCHECKBOX Apply for advance payment* Submit in CNPweb FORMCHECKBOX Free meal policy statementComplete and enclose a copy FORMCHECKBOX Copy of media releaseIndicate on the form where the media release will be published FORMCHECKBOX Training program for monitors and sitesComplete and enclose a copy FORMCHECKBOX Site eligibility documentation*Enclose a copy FORMCHECKBOX Food Service Management Company (FSMC):Invitation for Bid* and /or Vended Meal Agreement*Enclose Bid and/or proposed agreement FORMCHECKBOX One Month MenuSubmit menu for each site FORMCHECKBOX W9 form*Enclose a copyNot applicable if current CNP sponsor FORMCHECKBOX DUNS Number: FORMTEXT ?????To obtain a DUNS? number call(866) 705-5711 (toll-free number)*If applicable ................
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