Form FDACS-01847 Nslp New Sponsor Information - Florida

Form FDACS-01847 or the "Nslp New Sponsor Information" is a form issued by the Florida Department of Agriculture and Consumer Services.

The form was last revised in March 1, 2013 and is available for digital filing. Download an up-to-date Form FDACS-01847 in PDF-format down below or look it up on the Florida Department of Agriculture and Consumer Services Forms website.

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Florida Department of Agriculture and Consumer Services
Division of Food, Nutrition and Wellness
NSLP NEW SPONSOR INFORMATION
ADAM H. PUTNAM
SCHOOL YEAR _________
COMMISSIONER
Sponsor Name:
Sponsor Type (check the appropriate box):
Charter School
Private Nonprofit School
Public Residential Child Care Institution (RCCI)
Private Residential Child Care Institution (RCCI)
Other (specify)
First Name:
Title:
Last Name:
Mailing Address:
City:
County:
Zip:
Payment Address:
City:
Zip:
Phone Number: (
)
-
E-mail:
FEID #:
Signature of Director or Principal
Date
Title
SUBMIT THIS FORM:
PLEASE MAIL THIS FORM TO:
OR
PLEASE FAX THIS FORM TO:
Florida Department of Agriculture and Consumer
National School Lunch Program
Services
(850) 617-7403
Food, Nutrition and Wellness
Attn: Lisa Church, NSLP Supervisor
600 South Calhoun Street, Suite 120
Tallahassee, FL 32399
Attn: Lisa Church, NSLP Supervisor
FDACS-01847 Rev. 03/13
Florida Department of Agriculture and Consumer Services
Division of Food, Nutrition and Wellness
NSLP NEW SPONSOR INFORMATION
ADAM H. PUTNAM
SCHOOL YEAR _________
COMMISSIONER
Sponsor Name:
Sponsor Type (check the appropriate box):
Charter School
Private Nonprofit School
Public Residential Child Care Institution (RCCI)
Private Residential Child Care Institution (RCCI)
Other (specify)
First Name:
Title:
Last Name:
Mailing Address:
City:
County:
Zip:
Payment Address:
City:
Zip:
Phone Number: (
)
-
E-mail:
FEID #:
Signature of Director or Principal
Date
Title
SUBMIT THIS FORM:
PLEASE MAIL THIS FORM TO:
OR
PLEASE FAX THIS FORM TO:
Florida Department of Agriculture and Consumer
National School Lunch Program
Services
(850) 617-7403
Food, Nutrition and Wellness
Attn: Lisa Church, NSLP Supervisor
600 South Calhoun Street, Suite 120
Tallahassee, FL 32399
Attn: Lisa Church, NSLP Supervisor
FDACS-01847 Rev. 03/13

Download Form FDACS-01847 Nslp New Sponsor Information - Florida

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