CACFP New Agency Information Form

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CACFP New Agency Information Form

An agency interested in participating in the Child and Adult Care Food Program (CACFP) must meet eligibility requirements. The information collected in this form will be used to determine if the agency is eligible to participate. The Department of Public Instruction will review the information and contact your program with next steps within 14 days.

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* Indicates required question

Select the component the agency operates. *

Adult Care Component

At-Risk Afterschool Component

Child Care Component

Emergency Shelter Component

Family Day Care Home Component (Care for children in my home)

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