AL CACFP 2025-2026 Application

Name Of Site *
Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
Site Supervisor Information
Site Supervisor Name*

First NameLast Name
Site Supervisor Birthdate*

MonthDayYear
Date
Site Supervisor Cell Phone Number*
Please enter a valid phone number.
Site Supervisor Work Phone Number*
Please enter a valid phone number.
Site Supervisor Email*
example@example.com
Alternate Site Supervisor Name*

First NameLast Name
Alternate Site Supervisor Birthdate*

MonthDayYear
Date
Alternate Site Supervisor Work Phone Number*
Please enter a valid phone number.
Alternate Site Supervisor Email*
example@example.com
Program Information
Start Date of Program*

MonthDayYear
available on the first day of school
End Date of Program*

MonthDayYear
available until the last day of school
Holiday Closings*
Expected Average Daily Attendance*
number of kids per day
What is the age range of children being served?*
ex. 8-12years
What is the name of the nearest school?*
Meal Service Information
What days will your site serve meals?*

MondayTuesdayWednesdayThursdayFriday
Meal Service Selection-maximum of 2*

SupperSnack
If you are serving Supper, which of the following would you like to serve?

Fresh, cold lunches-Mobile/Baldwin counties ONLYFresh, HOT suppers--Mobile/Baldwin counties ONLY-MUST have food permitShelf Stable Meals
Snack Serving Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Supper Serving Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Documentation Requirement

In order for your application to be accepted, please submit ALL required documents. The Alabama state department requires all attachments to be PDF scans-if you do not have a scanner, we recommend using the "genius scan" app.
Fire Marshall Inspection*

Required for all sites-attach as a PDF only-photos are NOT accepted
Cancelof
After School Site Agreement*

Linked above-attach as a PDF only-photos are NOT accepted
Cancelof
Child Care Facility License

Daycare Sites ONLY-attach as a PDF only-photos are NOT accepted
Cancelof
Health Department Inspection*

Required for ALL sites-attach as a PDF only-photos are NOT accepted
Cancelof
Enrichment Activity Schedule*

Required for ALL sites-attach as a PDF only-photos are NOT accepted
Cancelof
Food Permit

Required hot meal sites-attach as a PDF only-photos are NOT accepted
Cancelof
Signature

Clear
Signing your name below will have the same authorization as your signature. This application is not a guarantee of participation in the After-school Meals Program. Feeding the Gulf Coast reserves the right to terminate any site found to be noncompliant with regulations.
Should be Empty:

Site Supervisor Information

Program Information

Meal Service Information

Documentation Requirement