Nondiscrimination Policy
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
Fax:(833) 256-1665 or (202) 690-7442
Email:program.intake@usda.gov
This institution is an equal opportunity provider.
Please enter a valid email address for your daycare so that they can receive a copy of your completed application to keep on file. Please call your child's daycare center for their email address if you do not already have it. Unfortunately, we are unable to process your application without it.
If you are enrolling more than one child today. Please enter your infant's information as Child 1 (this child). And the other children afterwards.
If you are enrolling more than 1 Infant: Please fill out the below information for infant #1. Contact us at 215-938-0201 or info@cbsfoodprogram.com to obtain a second Infant Enrollment form.
We are required to ask for information about your childrenʼs race and ethnicity. This informationis important and helps to make sure we are fully serving our community. Responding to this section is optional and does not affect your childrenʼs eligibility for receiving meals during care.
Please format all Income fields as currency so that CBS can determine proper eligibility for your child(ren).
Example: $2,500.00
Children who get Child and Adult Care Food Program (CACFP) free or reduced-price meals may also qualify for low-cost health insurance through Medicaid or the State Children's Health Insurance Program (SCHIP).
We may share your child’s CACFP eligibility information with Medicaid or SCHIP, unless you tell us not to. Medicaid and SCHIP only use the information to find out if children are eligible for their programs. Their staff may contact you to offer to enroll your children in these health insurance programs.
If you do not want us to share your information with Medicaid or SCHIP, fill out this page. You should send this page with your CACFP Meal Benefit Income Eligibility form when you apply. Sending in this page will not change your child’s eligibility for free or reduced-price meals.
In order to authenticate your signature please enter your email address below and click the "verify" button.
You will be EMAILED a one time use authentication code. Once received, please enter the code and click "Authenticate Signature & Email" to verify.
Your enrollment forms also need to be signed by a Daycare Adminstrator.
Please provide an email address for your Daycare. We will send a copy on your behalf for their signature.
An enrollment form for a child(ren) has been started. In order to complete the enrollment please review the application and complete the required fields. Upon submission a copy of the completed and signed application will be emailed to you.
By clicking the Next button below you will be directed to the Daycare Name section. Please choose your correct Daycare Name and Location from the list. Once selected please complete the application by signing in the last step.
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Click "Submit" below to securley transmit your application to CBS Kosher Food Program