1. Adult & Parent Curriculum
OHIO STATE UNIVERSITY EXTENSION
OSU Extension SNAP-Ed
Adult & Parent Curriculum
Document Title
Sub head 1 \
HOST SITE INFORMATION SHEET / CHECKLIST
Host Site / Organization Information:
______________________________ ______________________________
Host Site/Organization Name Street Address
___________________________________________________________________
City County State Zip
Host Site Contact Person: Name & Phone Number
Day of Class: Host Site Point Person: Name & Phone Number
Dates of series: _____________________________________________________
How would you classify the organization? Please check:
Food Pantry
Faith Based Institution
Community Center
Health Clinic/Center
Wellness Center
Housing Development
Other:______________
NOKIDHUNGRY
Describe the Space: ____________________________
Participants are SNAP eligible

2. Adult & Parent Curriculum
OHIO STATE UNIVERSITY EXTENSION
OSU Extension SNAP-Ed
Adult & Parent Curriculum
Document Title
Sub head 1
Checklist: Minimum Requirements for Host Site Class Space
Please confirm/check:
Refrigeration for perishable groceries
Hot Running Water
Sink large enough to wash dishes
Working electrical outlets
Work space sizable enough for all participants to prepare recipes
Enough tables and chairs to accommodate entire group
The space is far enough away from potentially distracting activities
Host site has identified a committed site contact/ point person for during classes. Point person helps to set up class and greet participants. Point person has an understanding of needs of the class.
** A heat source is not a requirement for the space, but it is however a requirement for the course.
Resource Sharing:
Will host site be providing resources? Resource sharing is encouraged, not required.
Yes No
Please check and provide description of resources host site to provide:
All Kitchen Equipment (bowls, plates, utensils, cooking equipment)
Some Equipment: ___________________________________________________
NOKIDHUNGRY

3. OHIO STATE UNIVERSITY EXTENSION
OSU Extension SNAP-Ed
Adult & Parent Curriculum
Document Title
Sub head 1
Resource Sharing: Please check resources to be provided by host site
Food: (In-Class Ingredients for Recipes/ Take-Home Groceries)
Describe: _________________________________________________
Shopper
Class Assistant
Voluntary Culinary Instructor
Volunteer to Assist:
Describe: _________________________________________________
Childcare
Transportation
Participants
Was a grant secured to host OSUE SNAP-Ed Cooking Matter Series at the site?
Yes Describe: _______________________________________________ No
Is the site providing funding?
Yes Describe: _______________________________________________ No
Is the site providing other resources?
Describe: _________________________________________________
NOKIDHUNGRY