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eval report cover.indd - New Jersey Farm to School Network Wiki

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K-12 Food Service Direc<strong>to</strong>rs Needs Assessment (Page 1 of 6)Date______________Name_______________________________ Email ______________________________<strong>School</strong>/District____________________________ County________________________Address_________________________________________________________________City___________________________ State____________ Zip code_________________Telephone______________________________ Fax______________________________Basic InformationTotal Student Enrollment______________Number of schools in your district_________ Elementary_____ Middle______ HighDo you participate in USDA school meals program? YES______ NO_______Number of students on free and reduced breakfast/lunch program_____________ON average, how many student lunches do you serve in a day? _______ADP (Average Daily Participation) rate: _______%What is the price of lunch? Full Price________ Reduced__________Do you have a summer feeding lunch program? YES_______ NO________<strong>Farm</strong> Conclusions <strong>to</strong> <strong>School</strong> and Sample RecommendationsTools and ResourcesIf yes, how many children take part in it?____________Do you participate in the DoD Fresh program? (if in a DoD area)YES________ NO________The Food Service FacilityDoes each school in your district have a “scratch” kitchen? YES_______ NO_______If no, how many are there and in which schools?_______________________________Do you have central kitchens that deliver <strong>to</strong> other schools? YES_______ NO_______www.farm<strong>to</strong>school.org 115

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