Food Provider Application

Food Provider Application
This application is intended for any entity who wishes to sell, donate, or provide food and/or beverages to SFUSD students during the school day on a regular, ongoing basis. School day is defined as the time students arrive in the morning until 30 minutes after the end of the after-school programs. This application does not have to be completed for one-time events, such as a student fundraiser, a school celebration, or a classroom party, nor does it have to be completed by parties who have an approved contract for services with SFUSD’s Student Nutrition Services.
Background
In April 2015, the Board of Education approved anew wellness policy that was developed through a collaborative community process. Wellness Policy (P5167) meets all the provisions of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA), and it provides all schools with a framework for promoting healthy eating and physical activity. SFUSD strives to nourish students with quality food that enables them to live healthy lives and thrive both inside and outside the classroom. The goal of this application is to work collaboratively with all providers to align nutrition and quality standards for the food and beverages offered to students.
Wellness Policy Guidelines
A full copy of the Wellness Policy and the District’sNutrition Guidelines are available on the web at: www.sfusd.edu/bewell. The excerpts below highlight the policy guidelines for donating, serving, or selling food and/or beverages to SFUSD students during the school day.
- To maximize the District’s ability to provide nutritious meals and snacks, all District schools shall participate in available federal school nutrition programs, including the National SchoolLunch Program, the School Breakfast Program, the Child and Adult Care Food Program, and the Summer Food Service Program.
- Schools shall not invite or contract with any entity and/or individual who wishes to sell, donate, or provide any kind of food or drinks to students, even those meeting the District’s nutrition guidelines, if it is in direct competition with SNS’s or EED’s federally funded school meal programs.
- Any entity and/or individual interested in donating, serving, or selling food and/or beverages to students during the school day must be pre-approved in writing by SNS and must keep their own records as proof of compliance.
Application Procedures
This application is to be completed by any entity who wishes to provide food/beverages.

You must identify someone to manage food and/or beverages at the school site. This may be an SFUSD staff member or a representative from the organization providing food and/or beverages. A PDF copy of the completed application will be emailed to this person as well as the school's principal. Both the principal and the onsite partner must review it and provide confirmation to SNS that they agree to the terms of service.

The FPA will be reviewed on a rolling basis throughout the year. Within 10 business days of receiving an application and confirmation from the onsite partner and principal, SNS will send a letter indicating approval or denial. Once your application is approved by SNS, your program must complete or have an approved Memorandum of Understanding or a Contract, and a Facilities Use Permit. (Anticipate at least 4 weeks after you receive an SNS pre-approval letter.)
- MEMORANDUM OF UNDERSTANDING (MOU): Any vendor or organization that wants to provide food and/or beverages to students in any public school free of charge to SFUSD must have an MOU approved by the Board of Education as well as the SFUSD's program, legal, and contracts departments before you being working with students. Please note that the process to approve and fully execute an MOU normally takes 3-4 weeks. For more information, visit: www.sfusd.edu/mou
- CONTRACT: Vendors or Organizations who will be be paid by SFUSD must complete a contract, not an MOU. The SFUSD department/school paying for your services will guide you through the process to get an approved contract. Please keep in mind that it can take at least 4-6 weeks to fully execute a contract.
- FACILITIES USE PERMIT: Anyone using an SFUSD facility outside of the regular school day must have a permit, and must pay permit fees - including nonprofit groups, public agencies, and private or commercial users. If your permit is related to an after-school program, you can coordinate directly with the after-school program provider to consider developing a joint facility use permit. Please allow at least three weeks to get a Facilities Use Permit. You can find detailed information about Facilities Use Permits and fees at: www.sfusd.edu/rentingfacilities
Annual renewal of the FPA is required; per July 1 through June 30. However, programs can be extended a few weeks if needed, but dates must be listed on application.
Prohibited Food/Beverages
For food standards, please refer to the Nutrition Guidelines available at www.sfusd.edu/eatwell

Beverages are limited to plain water, carbonated water, and low fat or fat-free milk/milk alternatives.

Section 2

School Information
Before services are provided, a person must be indentified to manage the foods/beverages at the school site. This individual may be a representative of SFUSD or a staff member from the organization that is providing services.
School name *
Principal

First Name Last Name
Principal's E-mail
example@example.com
Person in charge of managing the food/beverages provided onsite *

First Name Last Name
Title/Role *
Organization *
E-mail *
Phone Number *

- Area Code Phone Number

If you intend to provide food/beverages at more than one site, please provide contact details for who will be responsible for food/beverages at the school site. *

	School name	Principal	Principal's Email	Person responsible at school site	Email	Organization	Phone Number
1
2
3
4
5
6
7
8
9
10

School name 1
Principal 1 Name
Person in charge 1 Name
Principal Email 1 (Value Field)
Principal Email 1
example@example.com
Onsite email 1 (Value Field)
E-mail 1
example@example.com
School name 2
Person in charge 2 Name
Principal 2 Name
Principal email 2 (value field)
Principal Email 2
example@example.com
Onsite email 2 (value field)
E-mail 2
example@example.com
School name 3
Person in charge 3 Name
Principal 3 Name
Principal email 3 (value field)
Principal Email 3
example@example.com
Onsite email 3 (value field)
E-mail 3
example@example.com
School name 4
Person in charge 4 Name
Principal 4 Name
Principal email 4 (value field)
Principal Email 4
example@example.com
Onsite email 4 (value field)
E-mail 4
example@example.com
School name 5
Principal 5 Name
Person in charge 5 Name
Principal email 5 (value field)
Principal Email 5
example@example.com
Onsite email 5 (value field)
E-mail 5
example@example.com
School name 6
Principal 6 Name
Person in charge 6 Name
Principal email 6 (value field)
Principal Email 6
example@example.com
Onsite email 6 (value field)
E-mail 6
example@example.com
School name 7
Person in charge 7 Name
Principal 7 Name
Principal email 7 (value field)
Principal Email 7
example@example.com
Onsite email 7 (value field)
E-mail 7
example@example.com
School name 8
Person in charge 8 Name
Principal 8 Name
Principal email 8 (value field)
Principal Email 8
example@example.com
Onsite email 8 (value field)
E-mail 8
example@example.com
School name 9
Person in charge 9 Name
Principal 9 Name
Principal email 9 (value field)
Principal Email 9
example@example.com
Onsite email 9 (value field)
E-mail 9
example@example.com
School name 10
Person in charge 10 Name
Principal 10 Name
Principal email 10 (value field)
Principal Email 10
example@example.com
Onsite email 10 (value field)
E-mail 10
example@example.com
Anticipated service START date *

- Month - Day Year
Anticipated service END date *

- Month - Day Year
Check the time period foods/beverages will be served *

Breakfast Morning snack Lunch Afternoon snack Supper Throughout the day Other option

Section 4

Delivery and Distribution
How frequently will the food/beverages be delivered to the school? *

Daily Weekly Monthly Other option
Note: Friday deliveries to schools are strongly discouraged and can only be considered if the request doesn't present concerns about food storage or food safety and sanitation.
Describe the process for receiving items at the school *

Provider will handle all elements of the delivery, including receiving and storage. The school will be responsible for receiving all items.
Please indicate staff responsible
Describe the process for distributing items to the students *

Provider will handle all elements of the distribution The school will be responsible for distributing all items
Please indicate the staff responsible

Section 5

Food Storage
A critical element of food safety is proper storage and maintaining safe food temperatures. In order to prevent cross contamination with food for school meal programs, provided food and beverages may not be stored in SNS kitchen space. Therefore, it is the responsibility of the person in charge to ensure proper storage is available for all provided food/beverages at all times.
Please indicate how temperature will be maintained: *

Food/beverages will not be stored at the school Food/beverages will be refrigerated at school Food/beverages will be frozen at school Shelf-stable food/beverages will be kept in dry storage at school
Describe location of refrigerator/s at the school/s
Describe location of freezer/s at the school/s
Describe location of dry storage at the school/s

Section 7

Waste Management
How will leftover food/beverages be managed? *
How will waste be disposed? *
Describe any impact your services will have on custodial services. *

None. We will clean up and dispose of all waste. Waste removal only. Program will place waste in bins provided by SFUSD and clean surfaces and floors. Waste removal and cleaning. Custodial services will be needed to clean surfaces and floors. Other option

Section 8

Food Provider's Requirements and Responsibilities
Please read each statement below and check ALL boxes to indicate that you understand the statement.
*
Authorization

A copy of this application will be emailed to the person/s indicated as the person responsible at the school site/s. This person must confirm that they agree to the terms of the application and understand that they are responsible for food safety of program foods onsite. SNS will review and respond within 10 business days upon receiving a completed application and confirmation from the onsite person in charge.
Food Provider *

First Name Last Name
Signature of food provider *

Clear
Date *

- Month - Day Year
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Food Provider Application

Background

Wellness Policy Guidelines

Application Procedures

Prohibited Food/Beverages

Section 1

Section 2

Section 3

Section 4

Section 5

Section 6

Section 7

Section 8

Authorization