SFSP New Sponsor Application

Instructions

New applicants that did not participate in SFSP in the previous summer must submit this form by May 1.

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SFSP New Sponsor Application

Sponsor

DUNS #: *

(9 digit number, NOT your FEIN/TIN)

UEI #: *

If you do not have a UEI # or need further information please go to https://sam.gov

Sponsor Name: *

As it appear in tax statements

Address Line 1: *

Address Line 2:

City: *

Please provide a valid city.

State: *

Zipcode: *

County: *

Phone: *

Ext.:

Cell:

Fax:

Ext.:

Sponsor Entity Type: *

FEIN Number: *

Public/Private: *

Private

Public

Tax Exempt Status: *

Not for Profit

For Profit

Authorized Representative

"Authorized Representative" is the person who is legally and administratively responsible for your institution.

First Name: *

Middle Name:

Last Name: *

Title: *

Phone: *

Ext.:

Cell:

Fax:

Ext.:

Email: *

Contact

A "Contact" only provides someone who ISBE may contact when the "Authorized Representative" is not available.

First Name: *

Middle Name:

Last Name: *

Title: *

Phone: *

Ext.:

Cell:

Fax:

Ext.:

Email: *

Food Service

Total number of sites administered: *

New sponsors can initially operate two sites their first year. Contact SFSP staff with any questions (800)545-7892.

First site opens: *

Last site closes: *

Method of meal preparation: *

Please submit contract documents along with required application documents.

Meal preparation location: *

Submission

By clicking the Submit button, you certify that all information presented in this form is true and correct to the best of your knowledge. If you agree to these terms, please press Submit.