FY2020_Farm-to-School_Coversheet.pdf
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- Attached to
- USDA-FNS-F2S-2020
- Opportunity number
- USDA-FNS-F2S-2020
- Issued by
-
Department of Agriculture
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Farm to School Coversheet
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FORM FNS-887 (08/18) Previous Editions Obsolete
SBU
Electronic Form Version Designed in Adobe LiveCycle Designer D:20060509122150- 04'00' D:20060509122150- 04'00' Farm To School Grant Program (FSGP) OMB Number: 0584-0512 Expiration Date: 03/31/2019 UNITED STATES DEPARTMENT OF AGRICULTURE Food and Nutrition Service
FARM TO SCHOOL GRANT PROGRAM (FSGP)
APPLICATION COVER SHEET: FARM TO SCHOOL GRANT CFDA#10.575
Name of Organization:
Street1:
Street2:
City:
State:
Zip:
Contact First Name:
Last Name:
Title:
Phone:
E-mail:
Grant Application Type Type of Eligible Entity Are you a charter school?
Length of Project Project Title:
Brief Project Description: Please clearly summarize, in the third person, the work your organization will do as a result of receiving funding, who it will impact and which key partners will be involved. *Note: If awarded funding, this description will be used in publicly available documents.
Grant Request Match Contribution Total Project Cost(Grant Request + Match) Match % of Total Project Cost(Match / Total Project) Past or Current USDA FSGP Grantee Status Permission to Share Proposal? *see details below
* Through our work supporting farm to school initiatives, we regularly communicate with other federal programs and non-federal funders (e.g. private and community foundations) interested in supporting farm to school activities. While the USDA Farm to School Program has a limited amount of funding available each year, we hope to leverage our relationships with other funders to increase overall support for farm to school activities.
From time to time other funders request information about farm to school projects planned or underway in various communities. Information about your organization and a brief description of your proposed project will be included in a list that may be shared with other funders. These funders may elect to communicate directly with you at a future date. Should you wish to take advantage of this opportunity, please check YES. If you do NOT want your proposal shared, check NO.
School Information If you know which schools you’ll be working with on this project, please complete the section on the following page. If you cannot provide this information, please provide a short explanation of how you plan to partner with schools (e.g. our project will recruit 16 schools to participate in a statewide farm to school network). *Other grant applicants please describe the intended reach of your project, including reach/attendance numbers, when applicable:
Please continue to next page, if applicable.
Please provide information about Free/Reduce Price populations, Rural/Urban Classification codes, and student demographics for each of the project participants.
School/District Name:
City:
County:
State:
Please select one. At this school/school district, the project is intended to benefit:
Using data from last school year, please indicate the number of students eligible for Free and Reduced (F/R) Priced Meals that will benefit from your proposed project and the total school enrollment population rate. You can report numbers for the whole district(s), or for select schools (e.g. k-5 schools only), depending on which population your project targets.
1.
# of schools participating in or benefiting from your proposed project 2.
# of students eligible for F/R priced meals at these schools 3.
total school enrollment at these schools Additionally, please tell us about the geography and demographics of these particular schools.
Please note the district’s Urban/Rural Classification Code Student Demographics - Ethnicity/Race % Hispanic or Latino % American Indian or Alaskan Native % White % Native Hawaiian & Pacific Islander % African American % Two or more races % Asian School of School of Calculate your total percentage on line 3 below
1. Add the total # of students eligible for F/R meals from lines 2 above:
2. Add the total # enrollment at these schools from lines 3 above:
3. To calculate your weighted average F/R rate, divide the total # of students eligible for F/R meals (line 1 above) by the total # enrolled (line 2 above) x 100:
| XDPFirstField: |
| Mandatory: |
| TextField1: |
| ViewBurdenStatement: |
| Organization Name: Enter the legal name of the organization. This field is required.: |
| Street1: Street 1 of the organization address. This field is required.: |
| Street2: Street 2 of the organization address.: |
| City: Enter the City.: |
| State: Select the State.: |
| Zip Code: Zip Code (or ZIP+4) of the organization. This field is required.: |
| First Name: Enter the First Name. This field is required.: |
| Last Name: Enter the Last Name. This field is required.: |
| Title: Enter the position title.: |
| Phone: Enter the Telephone Number. This field is required.: |
| Email: Enter a valid Email Address. This field is required.: |
| Grant Application Type: One selection is required.: |
| Grant Application Type: One selection is required. |
State Agency grant ($50,000 - $100,000): Click to select option.:
| Type of Eligible Entity: One selection is required.: |
| Type of Eligible Entity: One selection is required. |
Agricultural producers or groups of agricultural producers: Click to select option.:
| Grant Application Type: One selection is required.: |
| Charter School: One selection is required if Non-profit entity is checked. |
No: Click to select option.:
| Length of Project: One selection is required.: |
| Length of Project: One selection is required. |
24 months: Click to select option.:
| Project Title: Enter the name of the project. This field is required.: |
| Brief Project Description: Please clearly summarize, in the third person, the work your organization will do as a result of receiving funding, who it will impact and which key partners will be involved. If awarded funding, this description will be used in publicly available documents. This field is required.: |
| Grant Request: Enter amount. This field is required.: |
| Match Contribution: Enter amount. This field is required.: |
| Total Project Cost: This is a calculated field.: |
| Match % of Total Project Cost (Match / Total Project): This is a calculated field.: |
| Past or Current USDA FSGP Grantee Status: One selection is required.: |
| Past or Current USDA FSGP Grantee Status: One selection is required. |
I've never been a FSGP grantee: Click to select option.:
| Current Grantee Description: This field is required if Current grantee is checked.: |
| Past Grantee Description: This field is required if Past grantee is checked.: |
| Permission to Share Proposal: One selection is required.: |
| Permission to Share Proposal: One selection is required. |
No, do NOT share my information with other funders: Click to select option.:
| School Information: If you know which schools you’ll be working with on this project, please complete the section on the following page. If you cannot provide this information, please provide a short explanation of how you plan to partner with schools (e.g. our project will recruit 16 schools to participate in a statewide farm to school network). *Other grant applicants please describe the intended reach of your project, including reach/attendance numbers, when applicable.: |
| TotalSchools: |
| Button1: |
| School/District Name: Enter School/District Name.: |
| County: Enter the County.: |
| At this school/school district, the project is intended to benefit: Select One. |
Other: Click to select option.:
| Select Schools Description: This field is required if Select Schools is checked.: |
| Other Description: This field is required if Other is checked.: |
| Number of schools participating in or benefiting from your proposed project: Enter number.: |
| Number of students eligible for F/R priced meals at these schools: Enter number.: |
| Total school enrollment at these schools: Enter number.: |
| Classification Code: Select the district's Urban or Rural Classification Code.: |
| Hispanic or Latino: Enter percent.: |
| American Indian or Alaskan Native: Enter percent.: |
| White: Enter percent.: |
| Native Hawaiian & Pacific Islander: Enter percent.: |
| African American: Enter percent.: |
| Two or more races: Enter percent.: |
| Asian: Enter percent.: |
| Delete School: Click to delete this entry.: |
| Next School: Click to add or move to the next entry.: |
| Previous School: Click to move to the previous entry.: |
| First School: Click to move to the first entry.: |
| Last School: Click to move to the last entry.: |
| TotalPages: |
| CurrentPageNumber: |
| SchoolNumber: |
| TotalSchool: |
| Total Number students eligible for F/R meals from lines 2: This is a calculated field.: |
| Total Number enrollment at these schools from lines 3 above: This is a calculated field.: |
| Weighted Average F/R Rate: This is a calculated field.: |
| LastField: |
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