HomeMy WebLinkAboutCompliance Review FormPlease return completed compliance
review and supporting documents to:
Food and Nutrition Management
Florida Department of Education
325 West Gaines Street, Room 1044
Tallahassee, Florida 32399-0400
Fax: (850)245-9281,SunCom205-9281
Retain a copy for your files.
FLORIDA DEPARTMENT OF EDUCATION
FOOD AND NUTRITION MANAGEMENT
SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
PREAWARD NONDISCRIMINATION COMPLIANCE
REVIEW FORM
Agreement Number: 0 4 - 0 8 9 9
Name and Address of Sponsor:
City of Miami/Parks and Recreation
Completion of the form is required by FNS Instruction 113-
8 issued by the U.S. Department of Agriculture in order to
participate in the Summer Food Service Program for
Children. Failure to complete this form will result in a denial
of the Summer Food Service Program application.
444 S.W.2 Avenue 8th Floor
Miami r F1 [)ri da 3 31 30
Please Answer the Following Questions:
1. Estimated Daily Meal Participation by Racial/Ethnic Group (Do not list percentages):
Hispanic or
Latino
Not Hispanic
or Latino
TOTAL
White
Black or
African
American
Asian
American Indian
or
Alaskan Native
Native Hawaiian
or Other Pacific
Islander
TOTAL
1,000
150
1,334
550
1,334
100
55
100
3,509
If. 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 distributed to feeder school all will be
graciously accepts.
Ill. Describe efforts to be used to contact minority and grassroots organizations about the opportunity to participate:
We will advertise with the local newspaper at various Elementary Schools
in the inner-city area.
IV. 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 Federal
Agency as After School Snack Program,Child Care Program and Dept. of
Health.
Signature of Sponsor Representative
KI,
Date Signed
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