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Local Food for Schools (LFS) Cooperative Agreement Program Request for Applications

School Year 2023-2024

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* 1. Local Education Agency (LEA) Name (aka District or School Name)

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* 2. LEA Agreement Number (000-000)

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* 3. Food Service Contact (First and Last Name)

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* 4. Farm to School Contact (First and Last Name)

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* 5. LEA Mailing Street Address

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* 6. City

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* 7. Zip Code

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* 8. County

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* 9. Contact Phone Number

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* 10. Contact Email Address

The Department of Elementary and Secondary Education does not discriminate on the basis of race, color, religion, gender, sexual orientation, national origin, age, veteran status, mental or physical disability, or any other basis prohibited by statute in its programs and activities. Inquiries related to department programs and to the location of services, activities, and facilities that are accessible by persons with disabilities may be directed to the Jefferson State Office Building, Director of Civil Rights Compliance and MOA Coordinator (Title VI/Title IX/504/ADA/ADAAA/Age Act/GINA/USDA Title VI), 5th Floor, 205 Jefferson Street, P.O. Box 480, Jefferson City, MO 65102-0480; telephone number 573-526-4757 or TTY 800-735-2966; email civilrights@dese.mo.gov