2Day Capacity Building Service - Ingenious Culinary Concepts

This form is used to gather district preliminary and baseline data for Ingenious Culinary Concepts' "2Day Capacity Building" services.

Project Deliverables:

1. Increase overall student meal consumption and participation

2. Empower district by identifying opportunities for improvement

3. Support district wide food and nutrition services goals

Please provide your Email ID: *

Title: *

School District: *

Service Dates: *

Participating School(s): List up to 3 school sites *

District Director: *

Project Manager/District Contact: *

Project Manager/District Contact (Phone Number) *

Project Manager/District Contact Person (Email Address) *

SCHOOL #1: Baseline breakfast and lunch participation data (Ex. Currently serving ___% OR Currently serving ___ of ___ students.) *

SCHOOL #2: Baseline breakfast and lunch participation data (Ex. Currently serving ___% OR Currently serving ___ of ___ students.) *

SCHOOL #3: Baseline breakfast and lunch participation data (Ex. Currently serving ___% OR Currently serving ___ of ___ students.) *

Explanation of noteworthy school nutrition service goals, related to this service. *

Free and reduced rates of each school involved in project *

Free and reduced rate of entire school district *

Name AND enrollment of schools participating inassessment (up to 3 total) *

Cafeteria manager names ( & assigned school) *

Will you have copies of menus (for participating schools) available on Day1 of services? Electronic versions are preferred. *
YesNoMaybe

What is the current menu cycle/frequency? *

Name of district’s food distributor *

Name of district’s produce distributor *

General description of the most recent professional development (for school foodservice staff, managers, leads, directors, etc.) *

Frequency of professional development offered (i.e weekly, biweekly, monthly, quarterly, summer only, back to school, etc.) *

Would you like to participate in an OPTIONAL pre-conference phone call to discuss your additional needs/request? If so, please propose a date. *

If you chose to participate in an OPTIONAL pre-conference phone call, please propose a time. *

What TIME should our consultant/coach meet you on Day1? *

WHERE should our consultant/coach meet you on Day1? *
Your officeAt the first school being observed?

Please provide the address of the location noted above. *