Kids Eat FREE!!!

Apply now and receive reimbursement $$ for each meal served to participants in your care!!!*

Apply for Sponsorship

To apply for CACFP/SFSP sponsorship with Georgia Nutritional Services, Inc., please complete the form below and submit. Once information is received, a representative will be in contact with you. For immediate assistance, please contact us via phone at 470.419.GNSI (4674) or via email at .

Center/Site Name

Center/Site Legal Business Name

Center/Site Physical Address

Director's Name

Email

Phone Number

Which program describes your center/site?

CACFP (Childcare center) CACFP (Home Daycare) CACFP (At risk Afterschool) CACFP (Adult) SFSP

Meals Served

Breakfast Lunch AM Snack PM Snack DInner Evening Snack

Meal Times:

Is your site currently participating or has your site ever participated on CACFP/SFSP?

Currently participating Never participated on CACFP/SFSP Participated, but not currently on CACFP/SFSP

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, theUSDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

(1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410 This institution is an equal opportunity provider.

(2) fax: (202) 690-7442; or

(3) email: program.intake@usda.gov.

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(470) 419-4674