HomeMy WebLinkAboutReview FormPlease return completed compliance
review end supporting documents to:
Food and Nutrition Management
Florida Department of Education
325 West Gaines Street, Room 1044
Tallahassee, Florida 32399-0400
Fax: tB50)245-9281,SunCom205-9281
Retain a copy for your files.
FLORIDA DEPARTMENT OF EDUCATION
FOOD AND NUTRITION MANAGEMEhJT
SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
PREAWARD NONDISCRIMINATION COMPLIANCE
REVIEW FORM
04-0899 Completion of the form is required by FNS Instruction 113-
Agreement Number: 8 issued by the U.S. Department of Agriculture in order to
participate in the Summer Food Service Program for
Name and Address of Sponsor: Children. Failure to complete this form will result in a denial
City of Miami of the Summer Food Service Program application.
444
iaml F orida 33130
Please Answer the Following Questions:
I. Estimated Daily Meal Participation by Racial/Ethnic Group (Do not list percentages):
Hispanic or Not Hispanic White Black or Asian American Indian Native
Latino or Latino African or Hawaiin or TOTAL
American Alaskan Native Other Pacific
Islander
1,700 1,8001,000 2,000 40 3
11. Describe efforts to be used to assure that minority populations have an equal opportunity to participate:
Children from inner -school will be introduced to the summer lunch program
through hand-out rL stri�uted teT✓e��1 school
all will be graciously accepts.
III. Describe efforts to be used to contact minority and grassroots organizations about the opportunity to participate.-
We
articipate:We will advertise with the local newspaper at various Elementary School
in the inner -City area.
1V. -List federal agencies other than the U.S. Department of Agriculture that provide financial support to- your organization:
The City of Miami recieve various levels of funding from other FPr'1Ara1 AgEn
as U.S. Hud, The Department of Justic and nenartmPnt of Labor
5ignatureofS g so iv re/ent , Pedro G. Hernandez, City Manager
— --- v 6
Date Signed
r
Shy '-S J Rovisu(I 03/07/08