Farm Fresh Jump With Jill Digital Tour Application Form

Applications for the 2021 Texas Farm Fresh Jump with Jill Digital Tour must be submitted by contracting entities (CEs) participating in the National School Lunch Program (NSLP). CEs should provide the name of at least two elementary school campuses for consideration. For the purposes of this application, "elementary campuses" refers to campuses educating any segment of grades K-5. Applications are due January 29, 2021.

You must submit at least two (2) and up to four (4) elementary school campuses for consideration. Please provide ALL contact information for the elementary campus(es) and enter information about student enrollment and number of teachers per campus in the table under Question 8.

Note: The campus contact person should be a decision maker or be able to speak on behalf of a decision maker. This person will be included in all planning discussions with Jump with Jill and TDA related to campus implementation of the digital tour.

1. Provide your CE contact information. *

CE Name

CEID Number

CE Contact Name CE Contact Phone Number

CE Contact Email Address

2. Elementary campus recommendation #1 *

Campus Name

Campus Contact: Name

Campus Contact: Phone Campus Location: City

Campus Contact: Email

3. Elementary campus recommendation #2 *

Campus Name

Campus Contact: Name

Campus Contact: Phone Campus Location: City

Campus Contact: Email

4. Elementary campus recommendation #3 (optional)

Campus Name

Campus Contact: Name

Campus Contact: Phone Campus Location: City

Campus Contact: Email

5. Elementary campus recommendation #4 (optional)

Campus Name

Campus Contact: Name

Campus Contact: Phone Campus Location: City

Campus Contact: Email

8. Please complete the table below with information about each proposed campus. The number of students and teachers should include TOTAL students and teachers receiving and providing education physically on campus AND in a remote learning environment. *

Grades Served
(ex: K-2)

# of Students at Campus

# of Teachers at Campus

Campus #1

Campus #2

Campus #3

Campus #4

7. Do teachers and students have access to internet and a computer to access the digital content? *

Yes No

9. Would you be willing to share photos with TDA of your teachers and students participating in the digital tour? *

Yes No

10. Why do you want TDA to bring the Farm Fresh Jump With Jill Digital Tour to your school(s)? *