After School Snack Program - SY 10
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After School Snack Program - SY 16 Registration Form
Date Submitted Please fill out the required information and fax or email to Condus Shuman, Nutrition Program Specialist, Nutrition Administration - phone (404) 802-2541; [email protected] or fax (404) 802 1502.
School:
Principal:
Program Name:
Type of Program: Homework Assistance/After-School Care Tutorial and After-School Care
Number of Students to be served: Student Grade Levels:
Projected Program Schedule: M T W TH F Hours of Operation: (Please check all days that snacks are to be served)
After School Program Coordinator: (Staff Name to receive required training from the School Nutrition Department Staff)
Email Address:
Telephone Number:
Projected Start Date of After School Program:
Projected Stop Date (Last Day of Program):
Please initial by each item below indicating expected compliance to all APS Afterschool Snack Program Guidelines:
____ Snack registration form for each program must be submitted 3 weeks prior to the expected date of service.
____ Required training must be completed by each After School Program Coordinator prior to the expected date of service. Meal service will begin 3 weeks after the completion of training.
____ Snacks must be picked up from the Cafeteria Manager by the After School Program Staff by 3:00 PM
____ Student Serving Rosters must be maintained daily by the After School Program Staff and given to the Cafeteria Manager for all students receiving snacks.
____ Notification of program cancellation must be provided 2 weeks prior to the last day of the program
____ The Afterschool Program will be responsible for the cost of any prepared snacks that are picked-up for scheduled student meal service. For School Nutrition Department Use Only:
Date Received ______SY15 Free and Reduced Rate______
Date Training Complete______Start Date of Snack Service ______