HomeMy WebLinkAboutReview FormPlease return completed compliance
review and supporting documents to:
Food and Nutrition Management
Florida Department of Education
325 West Gaines Street, Room 1724
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 Miama.
Department of Parks and Recreation
444 SW 9 AuQnt1PR flnnr
Miami Fla 33130
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.
Please Answer the Following Questions:
I. Estimated Daily Meal Participation by Racial/Ethnic Group:
Meal
Type
Breakfast
White
Non -
Hispanic
0
Black
Non -
Hispanic
0
A.M. Supplement
Lunch
P.M. Supplement
•0
1,500
1,600
0
2,000
2,000
0
Hispanic
0
0
2,300
2,000
0
Asian/
Pacific
Islander
0
0
30
45
0
American Indian
or
Alaskan Native
0
0
15
35
0
Multiracial
0
0
1, 000
2,000
0
TOTAL.
0
0
6,845
5,680
Supper
I!. Describe efforts to be used to assure that minority populations have an equal opportunity to participate:
Children from inner -City school will be introduced to the sump rlunCh
program through hand-outs distributed to feedet schools. •
all will be graciously accepts.
0
W. Describe efforts to be used to contact minority and grassroots organizations about the opportunity to participate:
We will advertise with `thp• local newsp_aper at various E1ern nt-ary Schnnts
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 leyel,s of funding _from nthPr
Federal Agency as t3.S. Bud, The Department of Justic and Department of
Labor
Signature ofSponsor Representative
MAY a12006
Date Signed
SFSP-S t
Revised 9-27-05