Child & Adult Care Food Program (CACFP) Application SY22
Three O’clock Project (TOP) is excited to kick-off our school year 2021-2022 after school meal program alongside Hunger Relief Partners like YOU. The Child & Adult Care Food Program (CACFP) is a federal entitlement program that provides funding to help offset the cost of providing healthy meals and snacks to children 18 & under, in a variety of care settings, including after-school programs

Please review the following information BEFORE determining you readiness to apply to be a Hunger Relief Partner with TOP this school year. At-risk after school programs MUST offer an enrichment activity. In addition to appropriate after-school programs, approved sites must meet the following standards and take required training with Three O’clock Project (TOP):

1. Each participating site must display the “And Justice for All” poster, Hunger Relief Partner poster, current health permit and the monthly menu (both provided by TOP) in locations visible to children, families, and visitors. If you do not have these documents, we will provide them once you are approved as a partner.

2. At minimum, all Staff directly responsible for program administration (meal service and reporting) must attend After-School CACFP Training provided by TOP (training dates/times listed on our website); person(s) will be responsible for the performance of the site’s food distribution in accordance with established TOP, State of Louisiana, and USDA standards.

3. All site staff responsible for food distribution must complete the Food Safety and Civil Rights training material (provided by TOP) annually.

4. Sites may not charge students for the meals and may not receive funding or reimbursement from any governmental entity.

5. Hunger Relief Partner serve at-risk youth and are compliant with a culture of inclusivity in accordance with USDA's Nondiscrimination Statement:

If you have any questions about this application, please contact Shea Smith directly:

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Email *
What program option are you applying for? Please note: Your selection requires equipment on-site for food safety. Please notify Shea Smith ( if you do not have the appropriate food safety storage needs listed next to the option you select. *
Will meals be consumed onsite during programming or Grab & Go for kids to take home and consume? *
Please identify the type of meal service you will be distributing. *
Will you allow parent/guardian pick-up meals for kids? *
Primary Contact at your site. Please list first name, last name, phone number, email, title, and date of last background check if applicable. *
Secondary Contact at your site. Please list first name, last name, phone number, email, title, and date of last background check if applicable. *
Has this site operated or participated in the CACFP with any other sponsor? *
If yes, please list the dates of participation in the CACFP.
Please state the hours of operation at your site. *
Please state the desired start date for CACFP meal program to begin. (Note: The desired start date can not be before the start of the 2021-2022 school year). *
Please state the anticipated end date for CACFP meal program to stop. (Note: The end date can not be after the end of the 2021-2022 school year). *
Please list any anticipated closure dates between the proposed start and end date for your site where meals will NOT be served including school breaks, holidays, etc. in the space below. *
What days of the week will your site be serving meals? (check all that apply) *
State your proposed meal service time (a minimum of 30 minutes and maximum of 2 hours required). Note: Service must begin AFTER school has let out for the day and you are in "after school programs." Service must begin at the approved serving time. Any and all changes to serving times must be pre-approved with TOP in advance. *
Please state the age range of youth who will be participating (must be 18 years of age or younger). *
How many children do you anticipate to serve daily? (This number can and should be updated as needed with TOP at any time during the duration of the program). *
Does your site have an active child care license? (Note: This is not required if you are not a child care facility) *
Please list the schools in your area of service where 50% or more of the students qualify for Free and Reduced meals during the school day. *
Please list the full name (first and last) and e-mail of all individuals from your site who need to attend a training. NOTE: All staff that are responsible for serving and administering the CACFP must attend one training date each year. Even if you were a partner during 2020-2021 school year, all staff must still attend in order to participate in 2021-2022 programming. Training will be approximately one hour via Zoom. Times and dates will be offered throughout the school year and schedules will be sent to you once your application is approved to be a Hunger Relief Partner with TOP. If your site does not attend a training, you will not be able to participate with the CACFP in partnership with TOP. *
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