CACFP Application

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This field is for validation purposes and should be left unchanged.
Application must be completed in one sitting. Please ensure that you have all of the required documents and allow 20-30 minutes to complete. If you do not have all your required documents, please still submit your application and then upload documents at this portal's Requests and Reporting page as soon as you have them.
Organization Name (Parent Company)*
Organization Federal Employer Identification Number (EIN)
Site Name*
Address*
This address should reflect the location where the meal is being served.

Street Address City State ZIP Code
County*
Nearest cross street:*
For example: Mayfield Rd / Warrensville Rd.
What is your geographic location?*
- Rural
- Urban

Describe your facility:
Do you have a freezer on site?*

Yes

No
Number of full-size refrigerators*
Full-size refrigerators include both household and commercial grade refrigerators. Do not include apartment-size refrigerators in your total count.
What equipment do you have at this site location for heating food?*
Select all that apply
Commercial Oven(s)
Household Oven(s)
Warmer(s)
Microwave(s)
None
Do you have a working sink available on site?*

Yes

No
Number of available washing basins*
Each site is required to have three washing receptacles (i.e. a two-basin sink with a wash basin, a one-basin sink with two wash basins).
Number of sink basin(s) Number of separate wash basin(s)
Does the facility where you will be serving meals have a current health inspection certificate?*

Yes

No
What is the expiration month and year listed on the health inspection certificate for the facility where you will be serving meals?*
What device will your site be using to count meals electronically?*
All sites sponsored by Greater Pittsburgh Community Food Bank will be using the Link2Feed electronic record-keeping system for counting and submitting meals served each day. The site can be accessed through internet browsers standard on any Apple or Android phone, tablet, or computer. Would site staff prefer to use their own smartphones or a tablet provided by the Food Bank?
How would you describe WIFI availability for this site?*
The Link2Feed site does not require continuous WIFI access to work, but it does need to connect to WIFI to submit the information to us.

Meal Service
Does your agency want to serve combination (hot/cold) or cold meals? (If receiving hot meals, you must have staff available two hours prior to meal time to heat meals)*

Combination (Hot/Cold) Meals

Cold Meals
Select the meals you'll be serving*
Supper
Snack
Super Snack (qualifies as supper, cannot be served with supper or snack)
Is your site nut-free?
Alternative meals can be provided for specific children with nut allergies on request. Select 'yes' only if your location is completely nut-free.
Yes
No
What time will you serve supper?*
Enter your start AND stop times. Example: 4:00 pm - 6:00 pm
Start Time End Time
Number of suppers requested per day:*
What time will you serve snack?*
Enter your start AND stop times. Example: 4:00 pm - 6:00 pm
Start Time End Time
Number of snacks requested per day:*
Please describe below any variations expected in the number of meals needed (i.e. days where attendance is expected to be higher or lower)

What is the earliest time that staff is available to receive meal delivery?
Delivery Instructions
Please describe any special delivery instructions (e.g. entrance to use, where truck can park).
Any additional comments about delivery window, meal time or quantity?

Application Submission

It's Hunger Action Month! Ending Hunger takes all of us- be part of the solution:

It's Hunger Action Month! Ending Hunger takes all of us- be part of the solution:

CACFP Application

Staff and Facility

Eligibility Determination

Program Information

Length of Program

Describe your facility:

Meal Service

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