August 1, 2007
Private School Principals
NSLP B SNACK APPLICATION FOR 2007-2008
An Agreement Addendum, NSLP-Snack Site Application form, and a Monitoring Form are
enclosed for participation in the snack program. Instructions pertaining to each document are
listed below.
$
Agreement Addendum: An Agreement Addendum is required to participate and
is considered permanent. If new to the program, please complete this
addendum by indicating the name of the sponsor on page 1, and signing and
dating the second page. The completion and submission of the addendum will
update your continuous Agreement currently on file in our office, and allow the
claiming of after-school snacks. The Agreement Addendum sets fourth and
details the main regulatory requirements agreed upon by the sponsor.
$
NSLP-Snack Site Application: Snack Site Application to the NSLP-Snack
Program is required annually. The enclosed Snack Site Application form shall be
used when making application at the site level. The form allows for the
application of up to six (6) sites, and requires additional forms to be completed
for sponsors that have in excess of six (6) sites per year. Please indicate the
name of the sponsor, the date, an official signature, and complete the required
fields for each site. Also, note that the At-Risk determinations are based on the
most recent October percentage of needy figures.
$
Monitoring Form: This form was developed to assist you in your monitoring of
the NSLP-Snack Program. Sponsors are required to monitor the snack program
twice a yearBonce within the first four weeks of operation and the other time
during the school year. You are to keep these forms in your files.
$
Five-Day Snack Count or Daily Snack Count Form: They are provided to
assist with the Point-of-Service count. You are to keep these in your files,
also.
A complete and approved Agreement Addendum and the corresponding Snack Site Application
with original signatures must be on file in our office prior to the claiming of after-school
snacks. For your convenience, you may access the following documents online at
http://wvde.state.wv.us/ocn-download/Forms/NSLP/2008/ (Link must be entered exactly as it
appears with upper and lower case letters). A CD with forms is available upon request. If you
have questions or need additional information, please contact Daniel Todd at 304-558-2708.
Richard J. Goff
Executive Director
Office of Child Nutrition
RJG/DJT:jlc
TS/S/002
Enclosures
August 1, 2007
Residential Child Care Institution Directors
NSLP B SNACK APPLICATION FOR 2007-2008
An Agreement Addendum, NSLP-Snack Site Application form, and a Monitoring Form are
enclosed for participation in the snack program. Instructions pertaining to each document are listed
below.
$
Agreement Addendum: An Agreement Addendum is required to participate and is
considered permanent. If new to the program, please complete this addendum by
indicating the name of the sponsor on page 1, and signing and dating the second
page. The completion and submission of the addendum will update your continuous
Agreement currently on file in our office, and allow the claiming of after-school
snacks. The Agreement Addendum sets fourth and details the main regulatory
requirements agreed upon by the sponsor.
$
NSLP-Snack Site Application: Snack Site Application to the NSLP-Snack Program
is required annually. The enclosed Snack Site Application form shall be used when
making application at the site level. The form allows for the application of up to six
(6) sites, and requires additional forms to be completed for sponsors that have in
excess of six (6) sites per year. Please indicate the name of the sponsor, the date,
an official signature, and complete the required fields for each site. Also, note that
the At-Risk determinations are based on the most recent October percentage of
needy figures.
$
Monitoring Form: This form was developed to assist you in your monitoring of the
NSLP-Snack Program. Sponsors are required to monitor the snack program twice a
yearBonce within the first four weeks of operation and the other time during the
school year. You are to keep these forms in your files.
$
Five-Day Snack Count or Daily Snack Count Form: They are provided to assist
with the Point-of-Service count. You are to keep these in your files, also.
A complete and approved Agreement Addendum and the corresponding Snack Site Application with
original signatures must be on file in our office prior to the claiming of after-school snacks. For
your convenience, you may access the following documents online at http://wvde.state.wv.us/ocndownload/Forms/NSLP/2008/ (Link must be entered exactly as it appears with upper and lower case
letters). A CD with forms is available upon request. If you have questions or need additional
information, please contact Daniel Todd at 304-558-2708.
Richard Goff
Executive Director
Office of Child Nutrition
RJG/DJT:jlc
TS/S/002
Enclosures
August 1, 2007
County Food Service Directors
NSLP B SNACK APPLICATION FOR 2007-2008
An Agreement Addendum, NSLP-Snack Site Application form, and a Monitoring Form are
enclosed for participation in the snack program. Instructions pertaining to each document are listed
below.
$
Agreement Addendum: An Agreement Addendum is required to participate and is
considered permanent. If new to the program, please complete this addendum by
indicating the name of the sponsor on page 1, and signing and dating the second
page. The completion and submission of the addendum will update your continuous
Agreement currently on file in our office, and allow the claiming of after-school
snacks. The Agreement Addendum sets fourth and details the main regulatory
requirements agreed upon by the sponsor.
$
NSLP-Snack Site Application: Snack Site Application to the NSLP-Snack Program
is required annually. The enclosed Snack Site Application form shall be used when
making application at the site level. The form allows for the application of up to six
(6) sites, and requires additional forms to be completed for sponsors that have in
excess of six (6) sites per year. Please indicate the name of the sponsor, the date,
an official signature, and complete the required fields for each site. Also, note that
the At-Risk determinations are based on the most recent October percentage of
needy figures.
$
Monitoring Form: This form was developed to assist you in your monitoring of the
NSLP-Snack Program. Sponsors are required to monitor the snack program twice a
yearBonce within the first four weeks of operation and the other time during the
school year. You are to keep these forms in your files.
$
Five-Day Snack Count or Daily Snack Count Form: They are provided to assist
with the Point-of-Service count. You are to keep these in your files, also.
A complete and approved Agreement Addendum and the corresponding Snack Site Application with
original signatures must be on file in our office prior to the claiming of after-school snacks. For
your convenience, you may access the following documents online at http://wvde.state.wv.us/ocndownload/Forms/NSLP/2008/ (Link must be entered exactly as it appears with upper and lower case
letters). A CD with forms is available upon request. If you have questions or need additional
information, please contact Daniel Todd at 304-558-2708.
Richard Goff
Executive Director
Office of Child Nutrition
RJG/DJT:jlc
TS/S/002
Enclosures