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Interested in the Child and Adult Care Food Program?

Fill out the form below to see if your center is eligible, and to get in contact with a 4C specialist who can help you through the process!

Required fields are marked with an asterisk (*).

Name of center:*
Contact person:*
Contact person for Food Program:
(if different from contact person above)
Center address:*
City:*
State:*
ZIP:*
Center phone:*
Center email:*
Center license type:*
Which meals does your center serve?*

Is your center participating in Step Up To Quality, or working with a 4C coach?*
 
Has your center ever participated in the Child and Adult Care Food Program before?*
 
Are you or your center listed on the National Disqualified List (NDL)?
 
How many children are enrolled at your center?*
 
What percentage of your enrollment is subsidized?*
 
How many years of experience does the center director have as a director?*
 
Is your center vended?*
 
Is your center for-profit?*
 
Does your center have access to the internet?*
 
How many computers are on site at your center?*
 
If your center has a website, please enter the address here:


 
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