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Team Nutrition Information

                        Is your school a Team Nutrition School?  Want to enroll your school?  Complete the form below and return it to Gail Lombardi by mail or fax (207)-624-6841                     

 

Maine

Team Nutrition School  
Enrollment Form

Our Team Nutrition School Leader is:
First Name_______________________ Last Name__________________________
Title____________________________ School’s Name_______________________
School Enrollment_________________ Grades Taught_______________________
School District____________________ School’s County______________________
School Street Address______________________________________________________
City_____________________________ State_________________ Zip______________
Telephone Number_____________________ Fax  Number________________________
E-mail address____________________________________________________________
We agree to:

  1. �� Support USDA's Team Nutrition goal and values.
  2. �� Demonstrate a commitment to help students meet the Dietary Guidelines for Americans.
  3. �� Designate a Team Nutrition Program Leader who will establish a team.
  4. �� Distribute Team Nutrition materials to teachers, students, and parents as appropriate.
  5. �� Involve teachers, students, parents, food service personnel, and the community in interactive nutrition education activities.
  6. �� Demonstrate a well-run Child Nutrition Program.
  7. �� Share successful strategies and programs with other Team Nutrition Programs.

We certify our Nutrition Program does not have any outstanding over claims or significant program violations in our meal programs.
__________________________               ____________________________
(Print) School Administrator                     (Print) Food Service Manager
__________________________               ____________________________
Signature                                                                     Signature
__________________________               ____________________________
Date                                                                               Date

Return form to: Gail Lombardi, Child Nutrition Services, 23 State House Station. Augusta, ME 04333

 


 

 

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