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2017-18 Written Agreement

2017-18 Agreement and Free & Reduced Price Policy Statement

The Agreement outlines the terms between the State Agency (SA) and the LEA/SFA (Local Education Agency/School Food Authority) dictating requirements to administer one or more of the School Nutrition Program (SNP).

The Free and Reduced Price Policy Statement outlines officials designated to make eligibility determinations for the SNP. Furthermore it marks that the LEA/SFA will develop procedures to provide benefits to student.

Document Title
Click on the appropriate document to download.
SFA Action/Instructions
TRADITIONAL PUBLIC
TRADITIONAL PUBLIC w/highlights

CHARTER Schools
CHARTER Schools w/highlights

RESIDENTIAL (RCCI)
RESIDENTIAL (RCCI) w/highlights

NONPUBLIC Schools
NONPUBLIC Schools w/highlights

ALL  SFAs should PRINT and maintain this document on file at the SFA along with the other 2017-18 Agreement Renewal documentation.
  • This is a checklist item in the Online Application
  • Agreements with highlighted changes are provided for FYI purposes ONLY.  Please DO NOT submit the highlighted version to the State Agency.

 

Agreement Signature Pages

Document Title | Description/Purpose
Click on the appropriate document to download.
SFA Action/Instructions

TRADITIONAL Public

CHARTER Schools

RESIDENTIAL (RCCI)

NONPUBLIC Schools

This document is indication by the LEA/SFA that all terms and conditions of the agreement and policy statement will be followed.

  • This is a checklist item in the Online Application
  • Must be completed by ALL SFAs.
1PRINT three (3) Signature pages. 
2.  OBTAIN the appropriate signatures on each page in BLUE INK.
3.  SUBMIT all three (3) signature pages to the State Agency.  

NOTE: Do not submit copies of signature pages.  EACH page must be signed in blue ink.

Required Signature(s):
Superintendent, SN Administrator/Director and Finance Officer

 

Other Agreement Documents

Document Title | Description/Purpose
Click on the document to download.
SFA Action/Instructions

Attestation of Compliance with Meal Pattern Requirements

Annual confirmation and an indication that all meals provided by the SFA to all students will meet current meal pattern requirements.

  • This is a checklist item in the Online Application
  • Must be completed by ALL SFAs.
1.  PRINT document.
2.  OBTAIN appropriate signature
3.  SUBMIT
one (1) copy to state agency.

Required Signature(s):

Traditional -  SN Director
Charter -  SN Director  
RCCI -  SN Director    
NonPublic - SN Director

Smart Snacks Option Declaration

Identification by the LEA of the choice for implementing sale and service of competitive foods during the school day.

  • All SFAs are required to complete this document; however, it is not included as a checklist item in the SN Technology System. 
  • Must be completed by ALL SFAs.
1.  PRINT document.
2.  SELECT
a Smart Snacks Option. 
3.  OBTAIN
the required signature. 
4.  KEEPthe signed document on file at the SFA with other agreement documents.

Required Signatures(s):

Traditional -
Superintendent

Charter - Board Chair
RCCI - SN Director
NonPublic - SN Director or Superintendent

Community Eligibility Provision (CEP) Agreement Amendment

Agreement amendment between the State Board of Education, North Carolina Department of Public Instruction and the LEA to operate the Community Eligibility Provision (CEP) (only if applicable).  Signature on this document demonstrates the LEA will be compliant with the CEP program in the participating school(s).
  • This document is only for SFAs participating in CEP program.
1.  PRINT document.
2.  SUBMIT two (2) hard copies to state agency.

Required Signature(s):

Traditional - Superintendent and SN  Director
Charter -  Board Chair and SN Director
RCCI -  N/A
NonPublic - Superintendent and SN Director

Effective Date of Free or Reduced Price School Meals Household Application Eligibility Determination

Documents the SFA's selected method of establishing the effective date of certification/eligibility for the F&RP School Meals Household Application; Date of Submission or Date of Eligibility.

1.  PRINT document. 
2.  SELECT
the appropriate Option (check box).
3.  OBTAIN appropriate signature
4.  SUBMIT one (1) copy to state agency.

Required Signature(s):

SN Administrator

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