| Please read this IMPORTANT ANNOUNCEMENT about Income eligibility guidelines and Child Nutrition Program renewal documents. Updated June 18, 2010
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Renewal forms that require the sponsor to enter information are available as Microsoft Word forms. To use a form, first download it to your computer's hard drive as follows:
1 - Right-click on the hyperlink (i.e. bullet).
2 - Select "Save Target As" and specify the location on your hard drive where the file will be saved, then click "Save".
3 - Once you have downloaded the file, open it in Word. Key information into the gray boxes and print out the form.
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Program Renewal Memo |
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Program Renewal Checklist: IMPORTANT! Print, complete and return with any other documents that are mailed to KSDE. |
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Program Agreement Addendum - There is NO addendum for 2010-2011. The 2008-2009 agreement remains in effect. |
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KN-CLAIM Quick Reference for the Sponsor & Site Applications |
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KN-CLAIM Quick Reference for the Wellness Policy Builder |
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Program Renewal Instructions for Forms 3B through 8M |
PLEASE READ CAREFULLY: There are two versions of the Household Application packet (i.e. Letter to Households, Instructions and Application for CNP Benefits):
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Form 3B does NOT include racial/ethnic data. It should be used by all public school districts and accredited private schools.
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Form 3C includes racial/ethnic data. It should be used only by non-accredited private schools.
For your convenience, the following formats are provided:
- (Col. A) PDF format - Print, fill-in-the blanks and distribute.
- (Col. B) Word enterable for printing - Download, complete variable data on your computer, print and distribute.
- (Col. C) Word enterable for posting on sponsor's website - Download, complete variable data on your computer, post on your sponsor's website where households can download and complete the application. Then the household could either email or print the completed application. This version is NOT suitable for printing blank copies.
Read the instructions for further information on using the enterable Word forms. |
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(B) |
(C) |
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Form 3B: Household Application packet without racial/ethnic data
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Form 3C: Household Application packet with racial/ethnic data (landscape orientation)
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Form 3D: Letter to Household about Eligibility Determination |
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Form 3E: Waiver of Confidentiality |
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Form 3F: Announcement of Child Nutrition Programs |
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Form 3G: Appointment of New Authorized Representative |
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Form 3J: Special Milk - Information for Households with Pre-K and Kindergarten Students (for sponsors providing both school meals AND the Special Milk Program with paid and free milk) |
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Form 7A: Letter to Household about Direct Certification |
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Form 8D: Letter to Household about Selection for Verification |
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Form 8M: Letter to Household about Benefit Decrease |
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Optional Application for State At-Risk Funds & Instructions |
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Food Service Contract between USD and Private School |
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New Site Application |
Guidance |
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Title/Description |
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Guidelines for Determining Eligibility |
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Income Eligibility Guidelines Chart |
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Instructions Regarding Confidentiality of Reduced Price/Free Eligibility Information |
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Foreign Language Materials Information |
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After School Care Snack Program, Questions & Answers |
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Special Assistance Alternatives (i.e. Provisions 1, 2 and 3) |
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Annual Financial Report - These forms can be used as worksheets prior to entering the data online in KN-CLAIM (due by August 15). Complete the monthly financial worksheets and the annual totals will be automatically computed. |
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Annual Financial Report Instructions for Public Schools |
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Annual Financial Report Instructions for Private Schools, RCCIs and State-Operated Schools |
Keep a copy of all program renewal documents for your files.
Signed documents must contain ORIGINAL signatures.
All program documents are due by July 15, 2010 to:
Child Nutrition & Wellness, Kansas State Department of Education,
120 SE 10th Ave., Topeka, KS 66612-1182.
Questions? Call (785) 296-2276. |