Fresh Fruit and Vegetable Program (FFVP) in Indiana Application for School Year 2009/2010
How the Program works: The U.S. Department of Agriculture’s Food and Nutrition Service (FNS) administers the FFVP at the national and regional levels. Within Indiana, the FFVP is administered by the Indiana Department of Education, School and Community Nutrition (SCN). In order to qualify, schools selected for the FFVP must meet the following criteria:
Must be an elementary school. Must operate the National School Lunch Program. Must submit an application for participation in the FFVP. Must have 50% or more of its students eligible for free/reduced price meals. Highest priority must be given to schools with the highest percentages of lowincome students.
A participating school will:
Receive funds allocated to the state based on USDA guidelines ($50 to $75 per student per year). Be able to use 10% of the school’s total grant for administrative costs. Receive reimbursement for the costs of purchasing, preparing, and serving fresh fruits and vegetables to children in the school. Agree to make free fresh fruits and vegetables available to all enrolled children. Inform the children and parents of the school that free fresh fruits and vegetables are available at school. Comply with state guidelines in applying for the Program. Participate in state and/or federal evaluations of the Program. Establish partnerships on a local, state, or national level. Incorporate nutrition education into the daily curriculum. 1
Steps to Follow in Submitting the Application 1. Each school building must apply separately. Only ONE application per school building may be submitted. 2. Complete the entire application. Signatures on the Signature Page of the application must be original and in ink. 3. Verify the application is complete and return via postal service to: Fresh Fruit and Vegetable Program Application C/O Sarah Kenworthy Indiana Department of Education School and Community Nutrition 151 W. Ohio St. Indianapolis, IN 46204 4. Applications must be postmarked by March 31, 2009. 5. Applications failing to meet the described specifications will not be considered. 6. Faxed applications will not be accepted. Attachments will not be reviewed. 7. Retaining a copy of the application for your records is recommended. FFVP recipients for the 2009/2010 school year will be notified by phone or email. Thank you for your interest in the Fresh Fruit and Vegetable Program. If you have any questions about the application, please contact Sarah Kenworthy at (317) 232.0850 or (800) 537.1142 or skenworthy@doe.in.gov
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Indiana Fresh Fruit and Vegetable Program Application School Year 2009/2010
SCHOOL PROFILE
SCHOOL INFORMATION: 1. Corporation Name 2. Corporation/Agreement Number (Visit http://www.doe.in.gov/food/pdf/freereduced09.pdf to determine) 3. School Building Name 4. School Physical Address 5. School Mailing Address (If different from above) City City State Zip IN State Zip IN
6. School Building/Site Number (Visit http://www.doe.in.gov/food/pdf/freereduced09.pdf to determine) SCHOOL LUNCH MEAL DATA: 7. Meal data for October 2008 (Visit http://www.doe.in.gov/food/pdf/freereduced09.pdf to determine) Percent eligible for free & reduced lunch: SCHOOL DATA: 8. School enrollment for October 2008 9. Grade Levels 10. Meals Offered (Check all that apply) School Breakfast Program National School Lunch Program 11. Is your school a Team Nutrition School? Yes No INFORMATION FOR CONTACT PERSON:
(Designated person to receive notification about FFVP application status)
12. Name of Contact Person (Either Food Service Director or Food Service Manager) 13. Position 14. Mailing Address 15. E-mail 16. Phone Number & Ext. City State IN Zip
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Please respond to the following questions. Your answers will be used to score your application. The material should be well presented, well organized, complete, clear, and concise. Incomplete applications will not be considered. Please limit your responses to the space provided.
17. Project Responsibilities. Detail the responsibilities of each person (school food service, school administration, teachers, volunteers, others) that will assist in the implementation of the program, including planning, purchasing, storage, and distribution. What do you anticipate to be the major barrier to success, and how will you overcome it?
18. Effective and Efficient Use of Resources. How will you use your existing resources (building space and storage) to implement this program? Will you need additional equipment such as carts, refrigerator units, etc? Please describe.
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19. Means of Delivery to Students. Provide details of how and where fresh fruits and vegetables will be provided to students. How many days per week will you offer fruits & vegetables? Most schools offer fruits & vegetables to ALL students several days per week. If you plan to do otherwise, please explain. (Note: Fruits & vegetables must be offered during the school
day and can not be used to replace foods that are part of the reimbursable school meal.)
20. Promotion to Students/Parents/Staff. How do you plan to promote and market the program? Please describe the means you will use to notify students, parents and staff about the program.
21. Nutrition Education Activities. Nutrition education is critical to the program’s success because for too many children, the produce they see in school might be their first exposure to fresh fruits and vegetables. How would your school incorporate the Fresh Fruit and Vegetable Program into nutrition education and activities to promote good health? Describe any anticipated collaboration among teachers, parents, food service personnel, and others.
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22 a. Partnerships. What partnerships, excluding federal, do you have in place or plan to have in place which might assist in obtaining and distributing fruits & vegetables to students if federal funds become limited? These could be civic organizations, service organizations, small businesses, major corporations, non-profit organizations, Parent-Teacher Organizations, etc.
22 b. Partnerships. How do you plan to integrate the FFVP with other efforts to either promote sound health and nutrition, reduce overweight and obesity, or promote physical activity?
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SIGNATURE PAGE 2009/2010 Fresh Fruit and Vegetable Program Application SIGNATURES: (All original signatures in ink are required.) We have reviewed this application and attest to the information provided. If selected, we agree to implement the project in a manner consistent with the policies and procedures established by USDA. Further, we agree to participate in any USDA and/or State-sponsored evaluations and to provide the information requested by the specified deadlines. Please provide the contacts shown below or equivalent positions as determined by the school. School Food Manager (signature) ____________________________ Date _______________ (print name & title) ____________________________________________________________ Phone Number & Ext. _____________________ Fax Number _________________________ E-Mail Address ______________________________________________________________
School Principal _________________________ ________________________ ___________
(print name) (signature) Date
Food Service Director _____________________ ________________________ ___________
(print name) (signature) Date
District Superintendent _____________________ _______________________ ___________
(print name) (signature) Date (For the above positions, school may determine equivalent positions.) Thank you for applying for the Indiana Fresh Fruit and Vegetable Program! For more information visit our website at http://www.doe.in.gov/food/FFVP.
This document must be completed and postmarked by March 31, 2009 in order to be considered for participation in the FFVP for the 2009/2010 school year. Mail to: Fresh Fruit and Vegetable Program Application C/O Sarah Kenworthy Indiana Department of Education School and Community Nutrition 151 W. Ohio St. Indianapolis, IN 46204
REV 1/30/2009
Application Number:
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