New Jersey Department of Agriculture Summer Food Service Program (SFSP)
2017 School Food Service Authority Outreach Questionnaire

School Food Service Authority SFSP Outreach Participation Questionnaire

Thank you for your interest in the New Jersey Department of Agriculture Summer Food Service Program (SFSP).

This questionnaire is the first step for eligible New Jersey School Districts to begin the process for applying to the program and\or to begin to gain valuable program information for future participation.

The Summer Food Service Program, provides New Jersey schools with the highest federally-funded per meal reimbursement for summer meal programs offered to low-income children, at non-academic school program sites, during the summer months. Through the Summer Food Service Program schools are able to continue feeding children healthy, nutritious, summer meals through the summer, when school is out of session, so when September comes children are ready to learn.

Many School Sponsors also participate by sponsoring unaffiliated community sites. Thereby, furthering their mission to support their community by ensuring all children have access to summer meals when school buildings may be closed and the need exists to continue providing children meals throughout the summer to prevent summer hunger.

Please complete the survey and you will be sent further details regarding the upcoming Summer Meals School Sponsor Streamlined Application training sessions to be held on February 1, 2017 and March 1, 2017.

For more information, please contact our office at 609-292-4498 or email us at SFSPCommunication@ag.state.nj.us. You can also visit our website at http://www.nj.gov/agriculture/divisions/fn/childadult/summer_food.html.

Thank you for your interest and we look forward to working with you to ensure no child goes hungry during the summertime!

Question Title

* 1. School Food Service Authority Contact Information

Contact Name and Title

School District

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Are you a Public/Private Nonprofit School?

YES

Other

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* 3. How did you learn about the Summer Food Service Program (SFSP)?

New Jersey National School Lunch Program letter

Current SFSP School Sponsor

NJDA SFSP Website

Other (please specify)

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* 4. What is the age range of your summer meals program participants?

0-6 years old

Preschool to High School aged

Elementary to Middle School aged

Varied ages at each school summer meals site

Other (please specify)

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* 5. Meal Types to be served?

Breakfast

Lunch

Dinner

AM Snack

PM Snack

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* 6. What is the estimated Average Daily Participation (ADP) for your entire summer meals program?

1-50

50-500

500-2000

Other (please specify)

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* 7. How many estimated summer meals school site locations will your program have?

2-5

6-10

11-20

21-55

55-100

Other (please specify)

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* 8. Will you have planned summer activities at your site locations?

YES

MAYBE

MAYBE, NOT SURE AT THIS TIME

Other (please specify)

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* 9. Estimated 2017 dates of summer meals program operation?

End of June 2017 through School starts in September 2017

End of June 2017 - July 31, 2017

July 2017 through end of August 2017

Other (please specify)

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* 10. Food Service Arrangements for your summer meals sites?

Self-Operating Food Service

Vended Food Service

Other (please specify)

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* 11. If a vended food service program, do you plan to utilize your current School Vendor for summer meals?
Self-Op can skip question.

YES, and I have a year-round NSLP food service contract with summer meals procured

YES, and I do not have a year-round contract that includes summer meals (Can utilize SFSP Contract Addendum for 2017 only)

NO, I will not utilize my current school vendor

I will procure separately for summer meals in 2017 through SFSP

Not sure at this time

Other (please specify)

Question Title

* 12. If Vended program, please provide Current Vendor Contact information. (Self-OP can skip question.)

Vendor Contact Name

Vendor Company Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 13. Schools are eligible to participate in the Summer Food Service Program based on the following (4) criteria:

(a) "Area Eligibility" (all schools in district at minimum of 50% or more Free & Reduced School lunch participation);

(b) Each individual school or community site is at a minimum of 50% or more Free & Reduced School lunch participation;

(c) by Census tract data of site location;

or (d) by SFSP Income Eligibility Application of each child's household to determine site eligibility.

Based on the SFSP site eligibility requirements, please check all that apply.

Area Eligible - All school sites at 50% or above Free & Reduced Priced School Lunch Survey data

Participating school and or community sites at 50% or above

Summer Program for low-income children within a non-area eligible school

Census tract data for site address

Eligibility applications will be used to determine eligibility of site

Not sure, need more information

Other (please specify)

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* 14. The 2017 SFSP (mandatory) School Sponsor Streamlined Application training sessions will be conducted on February 1, 2017 and March 1, 2017 here in our Trenton, New Jersey offices.

Would you like to reserve your participation in these training sessions?
(Training registration and program information will be sent to you prior to training.)

YES, I would like to attend the February 1, 2017 session.

YES, I would like to attend the March 1, 2017 session.

Not sure at this time. Please send training information, when available.

No, not at this time. Please keep me on your school contact list for potential future participation.

Other (please specify)

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* 15. How would you prefer to be contacted in the future?

Phone

Letter

In-person

Thank you for completing the 2017 New Jersey Department of Agriculture Summer Food Service Program School Sponsor Outreach Participation questionnaire. Our goal is to make applying and participation as streamlined as possible from your current participation in the National School Lunch Program (NSLP).

Please note, Schools wishing to participate with vended meal service will be contacted separately for further information needed to address any additional year-round SFSP procurement requirements.

We look forward to working with you next summer and will be in contact shortly when training registration begins.

Question Title

* 1. School Food Service Authority Contact Information

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* 2. Are you a Public/Private Nonprofit School?

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* 3. How did you learn about the Summer Food Service Program (SFSP)?

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* 4. What is the age range of your summer meals program participants?

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* 5. Meal Types to be served?

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* 6. What is the estimated Average Daily Participation (ADP) for your entire summer meals program?

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* 7. How many estimated summer meals school site locations will your program have?

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* 8. Will you have planned summer activities at your site locations?

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* 9. Estimated 2017 dates of summer meals program operation?

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* 10. Food Service Arrangements for your summer meals sites?

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* 11. If a vended food service program, do you plan to utilize your current School Vendor for summer meals? Self-Op can skip question.

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* 12. If Vended program, please provide Current Vendor Contact information. (Self-OP can skip question.)

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* 15. How would you prefer to be contacted in the future?

* 11. If a vended food service program, do you plan to utilize your current School Vendor for summer meals?
Self-Op can skip question.