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HomeMy WebLinkAboutpreaward formPlease return completed compliance review and supporting documents to: Food and Nutrition Management Florida Department of Education 326 West Gaines street, Room i 122 Tallahassee, Florida 32399-0400 (850)245.0461, SunCom 205.0461 Retain a copy for your flies. FLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT SUMMER FOOD SERVICE PROGRAM FOR CHILDREN PREAWARD NONDISCRIMINATION COMPLIANCE REVIEW FORM Name and Address of Sponsor: City of Miami/Dept. of Parks and Rec. 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 Programs for Children. Failure to complete this form will result in a denial of the Summer Food Service Program application. 444 SW 2 Avenue 8th Floor Mi ami F1 (-Fri rla, 111 10 I. Estimated Daily Meal Participation Please Answer the Following Questions by Racial/Ethnic Group: Meal Type White Non- Hispanic Black Non- Hispanic Hispanic Asian/ Pacific Islander American Indian or Alaskan Native Multiracial TOTAL Breakfast 0 0 0 0 0 0 0 A.M. Supplement 0 . 0 0 0 0 0 0 Lunch 1,000 1, 500 2,000 25': 25 : 1,000 54,550 P.M. Supplement i ..300 2,700 1,000 . 40 35 1,700 17,775 Supper 0 0 0 0 0 0 0. 11. Describe efforts to be used to assure that minority populations have an equal opportunity to partic pate: Children from inner -City School will be introduced to the summer lunch program through hand-outs distributed to feeder schools. 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 recieves various levels of funding frnm nthrar Federal Agency as U.S. Hud, The Department of Justic and Departmarit- of Labor. Signature of Sponsor Representative Date Signed SFSP-S1 Revised 10/04