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Includes sections for nonpublic school registration confirmation and GATA status, plus a New Applicant Questionnaire covering participation and application for other federal meal programs, desired meal services, meal preparation method, grade levels served, preferred start date, and required training resources. 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After completing last field, save document to hard drive to make future updates or click print button.   \nNEW APPLICANT FORM  \n100 North First Street Springfield, Illinois 62777-0001  \nSCHOOL NUTRITION PROGRAMS  \n\n| NAME OF SCHOOL/ORGANIZATION |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| ADDRESS |  |  |  |  |\n| NAME OF ADMINISTRATOR |  | EMAIL ADDRESS |  | PHONE NUMBER |\n| NAME OF CONTACT PERSON (if different from the Administrator) |  | EMAIL ADDRESS |  | PHONE NUMBER |\n| NAME OF FOOD SERVICE DIRECTOR  I certify this person is employed by the school/organization\u003Cbr>applying for the School Nutrition Programs. |  |  |  |  |\n| TYPE OF ORGANIZATION |  |  |  |  |\n|  School\u003Cbr> Camp |  Residential Institution\u003Cbr> Combination Residential & School |  |  Day Care Center  Boarding School |  |\n| TAX STATUS\u003Cbr> Public |  Nonpublic and Nonprofit\u003Cbr>all nonpublic organizations or schools must be federally tax-exempt with a current federal 501(c)(3) status. |  |  |  |\n| NONPUBLIC SCHOOLS ONLY\u003Cbr>All nonpublic schools must be registered with the Illinois State Board of Education. Is your nonpublic school registered?\u003Cbr> Yes  No |  |  |  |  |\n| GATA STATUS\u003Cbr> Completed  Partially Completed  Have not applied |  |  |  |  |\n\n\n| NEW APPLICANT QUESTIONNAIRE |\n| --- |\n| 1) Does this school/organization or any of its sites participate in any other federal meal programs? If yes, please indicate which programs below.  Child and Adult Care Food Program (CACFP)  Summer Food Service Program (SFSP) |\n| 2) Does this school/organization or any of its sites plan to apply to participate in any other federal meal programs? If yes, please indicate which programs below. If you plan to also apply for the CACFP or SFSP we will work together in order to streamline the application process where we can. If you are planning to apply for CACFP and/or the SFSP you will still need to submit an application and required paperwork for those programs.\u003Cbr>Child and Adult Care Food Program (CACFP)  Summer Food Service Program (SFSP) |\n| 3) Which meal services do you wish to apply for?\u003Cbr>National School Lunch Program  After School Snack Program\u003Cbr>School Breakfast Program  Special Milk Program\u003Cbr>*After School Supper Program is available through the CACFP Program. |\n\n\n| 4) Will meals be prepared and served by staff employed by your school/organization or do you plan to contract the meal service? (if only applying for the special milk program – skip this question)\u003Cbr>Self-Operated  Contract |\n| --- |\n| 5) What grades do you plan on serving?\u003Cbr>Pre-K  K 1 2  3  4 5 6 7 8 9  10  11  12 |\n| 6) What is your preferred start date?*\u003Cbr>*Please note, a start date cannot be guaranteed. |\n| 7) Have you viewed the following resources to learn about the rules and regulations of administering the School Nutrition Programs?\u003Cbr> Administrative Handbook  New Applicant Online Training Modules  None |\n\nCertification Statement  \nThe administrator hereby certifies that the foregoing is true and correct and that it will comply with all the rules and regulations governing participation in the program(s) for which we are applying.  \nOriginal or Digital Signature of Administrator Date  \n\n| ISBE USE ONLY |  |\n| --- | --- |\n| Original or Digital Signature of ISBE Administrator | Date |\n\nISBE 55-55 (2/22)  Print   Reset Form","cbCailfGzWTdkbfj","https://ap.wps.com/l/cbCailfGzWTdkbfj","pdf",300401,"English","# NEW APPLICANT QUESTIONNAIRE\n## Eligibility for other federal meal programs\n## Meal services applied for\n## Meal preparation and service method\n## Grades served and preferred start date\n## Resources viewed and certification statement","[{\"question\":\"What information does the New Applicant Form collect about the school or organization?\",\"answer\":\"It collects the school/organization name and address, administrator and contact person details (including email and phone), and information about the food service director’s employment certification.\"},{\"question\":\"Which federal meal programs can the applicant indicate participation or plans to apply for?\",\"answer\":\"The questionnaire asks about the Child and Adult Care Food Program (CACFP) and the Summer Food Service Program (SFSP) for both current participation and planned applications.\"},{\"question\":\"How does the form handle meal services selection, preparation method, and scheduling?\",\"answer\":\"Applicants choose which meal services they wish to apply for, indicate whether meals are self-operated or contracted (with a skip for the special milk program), select grades to be served, and provide a preferred start date with a note that it cannot be guaranteed.\"}]","NEW APPLICANT FORM - School Nutrition Programs - ISBE 55-55 | PDF",1791599107]