Application to Sell, Donate, or Provide Food or Drinks to SFUSD Students
This application form must be completed by any individual/vendor/community partner who wishes to
donate, serve, or sell food and/or beverages to SFUSD students during the school day, i.e., from the time
students arrive in the morning until 30 minutes after the end of the afterschool programs.
This application form 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
SFUSD’s mission is to provide each student with an equal opportunity to succeed by promoting intellectual
growth, creativity, self-discipline, cultural and linguistic sensitivity, democratic responsibility, economic
competence, and physical and mental health so that each student can achieve his or her maximum
potential.
Recognizing that social, emotional, and physical health are fundamental for each student to achieve his
or her maximum potential, SFUSD has a longstanding commitment to creating school environments that
promote and protect children’s health, well-being, and ability to learn by supporting healthy eating and
physical fitness. In April 2015, the Board of Education approved a new 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.
Wellness Policy Guidelines
A full copy of the Wellness Policy and the District’s Nutrition 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 School Lunch
Program, the School Breakfast Program, the Child and Adult Care Food Program, and the Summer
Food Service Program.

Student Nutrition Services (SNS) and the Early Education Department (EED) shall offer school meal
programs that aim to improve the diet and health of school children, help mitigate childhood obesity,
model healthy eating to support the development of lifelong healthy eating patterns, and support
healthy choices while accommodating cultural food preferences and special dietary needs.

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.
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Application Procedures

Any individual/vendor/community partner who wishes to donate, serve, or sell food and/or
beverages to SFUSD students during the school day (i.e., from the time students arrive in the
morning until 30 minutes after the end of the afterschool programs) must complete this application
from.
o Given the unique nature of each school, if you wish to provide food/beverages to more than
one school you must complete an application form for each school.
o If you wish to provide food/beverages to support more than one program at a given school,
list all of the programs at the school on one application form.

Applications must be completed in full and sent via email to be considered for approval. Completed
applications should be emailed to: bewell@sfusd.edu

Within a month of receiving an application, SNS will send a letter indicating approval or denial.
[Anticipate 4 working weeks.]

All necessary agreements must be in place before you can donate, serve, or sell food and/or
beverages to SFUSD students during the school day. 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.]

If your organization will provide food/beverages to an After School Program or a Community Youth
Organization that’s partnered with the District, you need to complete this application form, and the
After School Program or Community Youth Organization will need to enter into an MOU with the
District.

If your organization is an After School Program or a Community Youth Organization, you need to
complete this application form, and if approved you will need to enter into an MOU with SFUSD. If
you already have an MOU, depending on the terms of your MOU, you might not need an additional
MOU.

If your organization will provide food/beverages to a school and will be served during the school
day, you need to complete this application form, and you will need to enter into an MOU with the
District.
o
Memorandum of Understanding (MOU). Any organization or agency who 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 begin working with students! Please note that the
process to approve and fully execute an MOU normally takes 3-4 weeks. For more
information visit: http://www.sfusd.edu/en/doing-business-with-sfusd/applying-for-amemorandum-of-understanding.html
o
Contract. Organizations or individuals who will 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 3-4
weeks to fully execute a contract.
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o

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 afterschool program, you can
coordinate directly with the afterschool program provider to consider developing a joint
facility use permit. Please allow a couple of 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 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.
Timeline
Applications submitted by Octoer 1st 2015 will receive a response by November 1st 2015.
However, you can submit an application at any time throughout the school year. Applications will be
reviewed on a rolling basis throughout the year. It will generally take a couple of months to get all the
necessary agreements in place.
Definitions

Cold-pack cheese is produced by blending two or more varieties of fresh and aged natural cheese
wihtout the aid of heat. This cheese is known as club cheese, comminuted cheese, or crock cheese.

Pasteurized processed cheese is a food product made by mixing and heating natural cheeses with
other unfermented dairy ingredients, emulsifiers, food colorings, slat or whey.
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Application Form
You must complete all sections below and sign the application form before submitting it to SNS.
Section 1: Applicant Information
First Name:
Last Name:
Name of Organization:
Street Address:
City:
State:
Email:
Phone:
Zip:
If you plan to contract with a third-party to provide food/beverages, please provide the following
information about the third-party.
First Name:
Last Name:
Name of Organization:
Street Address:
City:
State:
Email:
Phone:
Zip:
Please describe your arrangement with the third-party:
Please indicate the type of pre-approval you are requesting. Check all that apply.
Requesting pre-approval to donate food/beverages.
Requesting pre-approval to sell food/beverages.
Requesting pre-approval to provide food/beverages at no cost to students, and we will receive
State/Federal school meal reimbursements.
Will the school be required to cover any of the costs associated with your request?
describe the costs that will be covered by the school:
Will students/families be required to cover any of the costs?
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If YES, describe:
If YES,
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Section 2: School Information
Please provide information about the school where you wish to sell/donate/provide food or drinks to
SFUSD students. If there’s more than one school, complete a separate application for each school.
School Name:
What date you would like to start donating/selling food/beverages (dd/mm/yy):
What is the anticipated end date (dd/mm/yy)?
Check the meal associated with the food/beverage you wish to donate/sell:
Breakfast
Morning snack
Lunch
Afternoon snack
Supper
Other (describe):
How frequently do you plan to serve the students?
Daily
Weekly
Monthly
Other (describe):
How many students do you plan to donate/sell food to
 on any given day:
 for the total duration of the agreement:
Where will the food wish to provide be served to students?
Classroom
Cafeteria
Multipurpose Room
Other (describe):
Approximately what time of day will the students receive the food/beverage (an approximate range is
fine if you are not certain about the exact time)?
What, if any, requirements must the school meet in order to receive food/beverages from you?
What human resources, if any, is the school responsible for providing? Check all that apply.
None
People to receive the delivery
People to prepare food/beverages
People to distribute food/beverages
People to help store food/beverages
People to clean up food/beverages after students
If you plan to provide any technical assistance/training to school staff, please describe your plans:
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Section 3: Food and Beverages
Describe any beverages that will be served:
Are any of the beverages sugar sweetened?
Are any of the beverages caffeinated?
Yes
Yes
No
No
Describe any food that you wish to provide. Check everything you want to be pre-approved to provide.
Fresh fruit
Fresh vegetables
Dried fruit/veg
Canned fruit/veg
Grains. If you checked Grains, indicate the percent whole grain:
Bread. If you checked Bread, indicate the percent whole grain:
Canned beans
.
.
Meat/poultry. Indicate the grade:
Describe the lean-to-fat ratio:
Indicate whether any meat/poultry will be uncooked/cooked:
Uncooked
Indicate whether any meal/poultry will be frozen/fresh:
Frozen
Do you plan to provide any variety meats?
Yes
If YES, please list all meat:
Cooked
Fresh
No
Do you plan to provide any pork?
Yes
No
Do you plan to provide meat with fillers/extenders?
Yes
No
Do you plan to provide any cured processed meats?
Yes
No
If YES, does it meet all requirements for Food Safety & Quality as indicated in the District’s
Nutrition Guideline?
Yes
No
Dairy. If you checked Dairy, indicate the USDA Grade:
Milk
Cheese
Yogurt
Other
and the type of dairy product:
Do you plan to provide cold-pack cheese, pasteurized processed cheese, pasteurized cheese spread,
pasteurized processed cheese spreads or other cheese alternatives?
No
Yes
Do you plan to serve fried foods/flash fried foods?
Will the food contain any artificial trans fats?
Will all the food be free of prohibited additives?
Will any of the items contain peanuts or tree nuts for any sort?
Will any of the items be treated with non-therapeutic antibiotics?
Yes
Yes
Yes
Yes
Yes
If you plan to serve prepared meals:
1) Will you adhere to fat + sodium levels in the District’s Nutrition Guidelines?
2) Will the meal be freshly prepared within 24 hours of serving and not frozen?
3) Will the meal contain frozen vegetables?
If YES, will they be USDA Grade A Fancy IQF?
No
No
No
No
No
Yes
No
Yes
Yes
Yes
No
No
No
Will all the food/beverages you plan to provide meet the District’s Nutritional Guidelines as outlined on
our web page: www.sfud.edu/bewell
Yes
No
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Section 4: Delivery and Distribution
How frequently will the food/beverages you would like to provide be delivered to the school?
Daily
Weekly on the following day:
Monthly
Other (describe):
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.
Our staff will handle all elements of the delivery, including receiving and storage.
The school will be responsible for receiving all items. The principal has identified staff and/or
students and/or volunteers to receive items based on the frequency noted above.
Describe the process for distributing items to the students.
Our staff will handle all elements of the distribution.
The school will be responsible for distributing all items. The principal has identified staff and/or
students and/or volunteers to disribute items to the students.
Section 5: Food Storage and Equipment
Will you need to store any food/beverages at the school? Check all that apply.
No we won’t need to store any food/beverages at the school.
Yes, refrigeration space is needed.
Yes, freezer space is needed.
Yes, dry storage space is needed.
If some items will need to be stored at the school, how long will you need to keep items in storage?
One time only
Ongoing basis
Other (describe):
How frequently will you clean/sanitize the storage area:
Will you need access to an oven?
No
Yes
Section 6: Waste Management
How will left over food/beverages be managed?
How will you dispose of waste?
Describe any impact your services will have on custodial services.
None. We will clean up and dispose of all waste.
Waste removal only. We will put all waste in bins provided by SFUSD and will clean all surfaces and
floors.
Waste removal and cleaning. We will need custodial services to clean surfaces and floors.
Other (describe):
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Section 7: Food Safety and Sanitation
Provide contact information for the person responsible for ensuring food safety and sanitation.
First Name:
Last Name:
Title/Role:
Organization:
Email:
Phone:
Food handling certifications (list all):
Note: In the event the contact information changes after you submit your application, you will email
updated contact information bewell@sfusd.edu.
Will any of the food items served be prepared at the school?
Yes
If YES, describe the type of preparation required. Check all that apply.
Assembly
Washing
Cutting
Heating
Cooking
Other (describe):
No
Describe where in the school the food will be prepared. Check all that apply.
Cafeteria / SNS kitchen
Multipurpose room
Teacher’s Lounge
Classroom (insert numbers):
Other (describe):
Provide information about the person responsible for overseeing food preparation:
First Name:
Last Name:
Title/Role:
Organization:
Email:
Phone:
Food handling certifications (list all):
Describe any food safety and sanitation training you will provide:
Please submit copies of training schedules and training manuals/collateral with this application.
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Section 8: Applicant’s Requirements and Responsibilities
Please read each statement below and check the box to indicate you have read the statement.
I understand that no food/beverage may be sold, donated, or provided to students without preapproval in writing from SNS.
I understand that once pre-approval is provided by SNS we need an MOU or Contract approved
by the Board of Education before it is possible to deliver any food/beverages that will be donated,
sold, or provided to students. (ref: http://www.sfusd.edu/en/doing-business-with-sfusd/applying-fora-memorandum-of-understanding.html)
I understand that I will need to get a Facilities Use Permit for services outside the regular school
day. (ref: www.sfusd.edu/rentingfacilities).
I have reviewed the District’s Wellness Policy and the District’s Nutrition Guidelines and I confirm
that all food/beverages provided will meet these guidelines. I also understand that any approval will
be revoked if these guidelines are violated. (ref: http://www.sfusd.edu/en/nutrition-schoolmeals/official-wellness-policy.html)
I understand that SFUSD’s Federal meal programs get priority, and this approval may be revoked if
it conflicts with SFUSD’s Federal meal programs.
I understand that if approved we will be responsible for food safety and sanitation and will be
able to provide a detailed food safety and sanitation plan upon request.
I understand that an annual renewal is required and this application will be void at the end of the
2015-16 school year.
I have completed all sections of this application form and understand that it must be completed in
full and sent via email to bewell@sfusd.edu to be considered for approval.
I have completed this application in good faith and understand this application is a request for
approval.
Print Name:
Date:
Signature:_____________________________________________________________
Applications must be completed in full and sent via email to bewell@sfusd.edu to be
considered for approval.
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