1. “USDA is an equal opportunity provider and employer.”
Sumter County School Summer Nutrition Program Martha Harvey Director of Sumter County Schools Nutrition Program
“USDA is an equal opportunity provider and employer.”

2. Sumter County School Summer Nutrition Program
Requirements
Site Application
Site Agreement
Summer Meal Calendar
Temperature Log
Daily Meal Counts
A. Breakfast
B. Lunch
“This institution is an equal opportunity provider.”

3. SumterCounty School Summer Nutrition Program – Application
Site Name
Site Supervisor’s Name
Site Address:
Home Address:
City:
Contact Phone:
State: Zip Code:
Fax Number:
Home Phone:
Cell Phone:
address:

4. SumterCounty School Summer Nutrition Program – Application
Alternate Site Supervisor’s Name
Name:
Phone:
Address:
Address:
City:
State: Zip Code:

5. Sumter County School Summer Nutrition Program – Application
Site Location
Indoor Outdoor
Site Location
Church
Park
Community Center
Playground
Recreation Area
School

6. Sumter County School Summer Nutrition Program – Application
Type of Eligibility
(Choose one of the three listed)
1. Community Open Site – limited to children through
age 18. Enter the estimated number of children at this
site._____________.
2. Migrant Open Site – primarily serving migrant children
through age 18. _______________.
3. Church Open Site – limited to children through age
18. Enter the estimated number of children at this site.
________________.
OPEN – a site where no child is told that they can’t have a meal.
Do you plan to serve children 19 and above who are mentally or physically disabled? _________yes _________no How many?_________
Estimate number of mentally or physically disabled to be served at your site.

7. Sumter County School Summer Nutrition Program – Application
Meal Service Information
(Select ONLY one choice from the options listed)
1. LUNCH ONLY
2. BREAKFAST AND LUNCH
3. LUNCH at a non-traditional time.
Meal Times Requested
(3 hours required between meals)
Meal
Begin Time
End Time
Breakfast
9:00 AM
10:00 AM
Lunch
1:00 PM
2:00 PM
Lunch at a non-traditional time
5:00 PM
7:00 PM

8. Sumter County School Summer Nutrition Program – Application
___Yes ___No For receiving sites, in there adequate secure storage for
breakfast delivered with lunch that must be held until the
appropriate serving time?
___Yes ___No For receiving sites, is there adequate secure storage for
leftovers on site since ice chests are not sufficient for over-
night storage?
___Yes ___No Site will provide a refrigerator thermometer and keep an
updated temperature log.
___Yes ___No For outdoor sites, have arrangements been made for food
service during inclement weather?

9. Sumter County School Summer Nutrition Program - Agreement
1. Serve meals to all needy children 18 and under (or persons 19 or older with a public or private nonprofit school program for the mentally or physically disabled.)
2. Serve meals that meet the minimum meal pattern requirements.
3. Abide by all safety measures as stated in the food safety regulations.

10. SumterCounty School Summer Nutrition Program - Agreement
4. Provide adequate supervision during the meal service.
5. Maintain and submit promptly such reports that the sponsor requires.
a. Temperature logs
b. Accurate participation counts
6. Report to the sponsor any changes in the number of meals required as attendance varies.

11. SumterCounty School Summer Nutrition Program - Agreement
7. Report to the sponsor any changes in the number of meals required as attendance fluctuates. Report any other problems regarding the meal service.
8. Comply with civil rights laws and regulations.
9. Attend sponsor-training sessions.
10. Reimburse the Board of Education, School Nutrition Funds for loss incurred for not following the rules as specified by the SNP.

12. May/June Serving Dates
Monday
Tuesday
Wednesday
Thursday
Friday
Holiday 26 27 28 29
June, 2014
Monday
Tuesday
Wednesday
Thursday
Friday 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30

13. July Serving Dates JULY 2015 Monday Tuesday Wednesday Thursday Friday
Holiday 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24

14. Summer Breakfast Meal Amount Per Week (minimum per day)
Meal Component
Amount
Juice/Fruit/Vegetable (cups)
5/(1) cup
Grains (oz. eq.)
8 -10 (1) cup
Meat/Meat Alternates (oz. eq.)
Fluid Milk (cups)
5 (1)
Other Specifications
Amount
Minimum/Maximum calories
Saturated Fat(% of total calories)
<10
Sodium (mg)
< 600
Trans Fat
Zero (0)

15. Summer Lunch Meal Amount Per Week (minimum per day)
Meal Component
Amount
Fruit (cups)
2 ½ (1/2) cup
Vegetables (cups)
3 ¾ (3/4) cup
Dark Green
½ cup
Red/Orange
¾ cup
Beans and Peas
Starchy
Other
Additional Vegetable to Reach Total 1
Grains (oz. eq.)
(1)
Meats/Meat Alternate (oz. eq.)
9 – 10 (1)
Fluid Milk (cups)
5 (1)

16. Summer Lunch Meal, Cont. Amount Per Week (minimum per day)
Other Specifications
Amount
Minimum/Maximum calories
Saturated Fat(% of total calories)
<10
Sodium (mg)
< 1360
Trans Fat
Zero (0)

17. Complete Meal

18. Breakfast Meal Count Forms
DAILY MEAL COUNT FORM FOR SUMMER 2015– BREAKFAST
SITE_______________________________________DATE__________________
(Leftover meals from previous day) + (Meals received today) = Today’s TOTAL MEALS AVAILABLE
____________________+_______________ = ___________________
Mark only one meal per child at point of receipt, serving leftover meals first: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

19. Breakfast Meal Count Forms
First Meals from chart above = _____
*Second meals served to children
*Total second meals + _________
*Meals served to Program adults
*Total program adult meals + ____________
*Meals served to non-Program (paying) adults - $2.00
*Total non-program adult meals + ____________
Total Meals Served = _________
Total damaged _________
Today’s leftover meals = _________
GRAND TOTAL MEALS __________________________
(GRAND TOTAL MEALS and Today’s TOTAL MEALS AVAILABLE should be equal)
Circle the number of additional children requesting a meal after all available meals were served:
By signing below, I certify that the above information is true and accurate:
______________________________________________________________________________________ Signature Date

20. Lunch Meal Count Forms
DAILY MEAL COUNT FORM FOR SUMMER 2015 – LUNCH
SITE_______________________________________DATE__________________
(Leftover meals from previous day) + (Meals received today) = Today’s TOTAL MEALS AVAILABLE
____________________+_______________ = ___________________
Mark only one meal per child at point of receipt, serving leftover meals first: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

21. Lunch Meal Count Forms First Meals from chart above = ________
*Second meals served to children
*Total second meals + _________
*Meals served to Program adults
*Total program adult meals _________
*Meals served to non-Program (paying) adults - $3.50
*Total non-program adult meals _________
Total Meals Served = _________
Total damaged _________
Today’s leftover meals = _________
GRAND TOTAL MEALS __________________________
(GRAND TOTAL MEALS and Today’s TOTAL MEALS AVAILABLE should be equal)
Circle the number of additional children requesting a meal after all available meals were served:
_____________________________________________________________________________________
Signature of Approved Site Manager Date
_______________________________________________________________________________________
Signature (approval) of cafeteria manger Date

22. Daily Meal Count Form Instructions
Mrs. Summer ordered 100 lunches on Monday.
She served 75 children, 1 Program Adult, and 2 paying adults.
Total Meals Served?
Total Left Over?
How many meals does Mrs. Summer need for the following day?
What is done with the leftovers on the following day?
What is done with the money paid for the 2 adult meals?

23. Daily Temperature Log DAILY TEMPERATURE LOG Cooler
Cooler
Name of Site: ______________________________
Month __________________
Equipment being checked __________
Year________________________
DATE
TIME
AM Thermometer Reading
PM Thermometer Reading
INITALS

24. Notes Call school cafeteria with counts needed for the day.
Call by 8:00 am to :________________
Pick up meals on time each day.
Milk must be in cooler or under ice.
Count sheets from previous day should be completed and turned in before meals can be released for current day.

25. Notes
Give meal and milk directly to children. (This is a reimbursable meal and all components are packed).
1 breakfast at breakfast + 1 milk
1 lunch at lunch + 1 milk
Do not give to adult for child or children.
As long as you have meals, no child should be turned away.
Children can take only one meal.
One breakfast at breakfast. If child wants a 2nd and it is available, count as another breakfast.
One lunch at lunch.
If a second meal is desired, count as adult lunch. $3.50 for lunch.

26. Notes
Adult Meals
One adult meal is allowed for each meal service period. (Document on Meal Count Sheet).
If other adults want meals they can have for a charge of $2.00 for breakfast and $3.50 for lunch. (Document this on the meal count sheets). Give money to school cafeteria.
Meal Count Sheets - Check number from list after each meal is served.
Do not allow more than one child to have a meal without checking list.
Keep accurate count.
Must be completed before meals are received next day.

27. Notes Display “In Justice For All” poster at all times.
Must be in reading distance for all children.
(If from a van, make sure it is posted in windshield).
(If in a room, make sure it is posted on a wall or window).
(If on a cart, tape to the cart).
Store leftovers for next day in cooler.
Leftovers from previous day should be used first for the following day.
Leftovers must be kept under refrigeration overnight.
Call school kitchen to report number of meals needed for the day.
Call by 8:00 am to: ____________________.

28. Notes Keep up-to-date temperature log. Should be checked twice a day
Turn in to school cafeteria at the end of each month.

29. Publicity for SSNP Free Breakfast and Lunch for Children!
Who: Children 18 and Under
When: Breakfast—9:00 AM
Lunch—1:00 PM
Dates: Tuesday, 5/26/2015 – 7/24/2015
Location: Your Location
Contact: Your contact Information
For More Information
“USDA is an equal opportunity provider”

30. “USDA is an equal opportunity provider and employer.”
The Seamless Summer Nutrition Program is sponsored by The U. S. Department of Agriculture.
“USDA is an equal opportunity provider and employer.”