Food Service Request Form

This form is to request food and supplies for your events, field trips and meetings. If you have questions before or after your event or need to make changes after this form has been submitted, please contact MSADFoodservice@msa.state.mn.us (for MSAD) or MSABFoodservice@msa.state.mn.us (for MSAB).

School Campus:*

MSABMSADCombined Event - MSAB & MSAD

Staff point of contact:*

Staff point of contact for day of event:*

Staff Email:*

example@example.com

Cell phone of contact person:*

Please enter a valid phone number.

Date form completed:*

MonthDayYear

Activity start date:*

MonthDayYear

Activity end date:*

MonthDayYear

Activity Location/Description:*

What date and time will food/supplies be picked up from kitchen*

Who will pick up food/supplies:*

What type and quantity of food/supplies are needed:*

Are students missing a meal in the school cafeteria?*

YesNo

Names of students attending (required):*

Number of staff meals needed, if approved*

Names of staff needing meals*

Total number of meals needed (student and staff)*