2017 Winston Equipment Grant
Application Preparation Worksheet
This is not the application form. Use this sheet to prepare your responses to the questions on the 2017Winston Equipment Grant application. The application must be submitted online via SmarterSelect.com. The application will open on TBD. Only the first 50 applications will be accepted.
Your Information
Name:
Job Title:
Work Address:
City:
State:
Zip:
Work Phone Number:
Work Email:
SNA Member ID Number:
School District Information
School District Name:
Number of students enrolled in your district:
Number of schools in your district:
% Free/Reduced:
What type of school foodservice operation does your district have (please check all that apply):
- On site preparation
- Kitchen that transports
- Central Commissary
Did your school district receive USDA funding through the State Agency for new equipment in the last 3 years? If yes, please indicate the amount and how those dollars were used.
What is yourschool district’s annual equipment budget (in dollars)?
What is your school district’s estimated annual equipment need (in dollars)?
Do you have an equipment maintenance and replacement plan? Please briefly explain.
How much has your school district spent on equipment in the last 3 years (in dollars)?
How much of your school district's budget was spent on equipment in the last 3 years (as a percentage)?
Implementation Plan for Schools/Facilities
The Winston Equipment Grant awards 10 pieces of equipment to the winning school district. Please provide information on the specific schools/facilities in your district which would receive the piece of equipment if your application won the Winston Equipment Grant.
Equipment can be combined at one site or distributed among 10 different sites. Please provide background information on each school/facility and the pieces of equipment which would be installed in each school/facility.
Please note that only the schools/facilities listed below are eligible to receive the equipment awarded by this grant. If there are any changes to the schools/facilities being awarded the grant, you must notify the SNF immediately.
School/Facility 1
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 2
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 3
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 4
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 5
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 6
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 7
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 8
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 9
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
School/Facility 10
School/Facility Name:
School/Facility Type:
% Free/Reduced:
ADP Breakfast (as a percent):
ADP Lunch (as a percent):
Do you offer the following at this school?
- Snacks
- Supper
- N/A
Please describe the current equipment in this kitchen (include age of equipment you would be replacing).
Please upload a picture of the current equipment to be replaced (if applicable).
What pieces of equipment would be installed in this school/facility?
__Holding Cabinets
__Holding Drawers
__Thermalizers
Essay Question
What is the potential positive impact of the equipment grant on your school nutrition program and school district? As you formulate your response, please address the following:
- Current challenges
- Financial/Labor impact
- Nutritional impact (menuing and recipe development, use of local foods, scratch cooking)
- Impact on participation (i.e, increased meal capacity; participation beyond NSLP and NSBP)
Your response must be between 300-500 words.
Certification and Release
By entering my name and date below:
- I certify that all information on this application is true and complete to the best of my knowledge.
- I certify that I meet all eligibility requirements as specified in this application and the accompanying instructions.
- I hereby authorize the School Nutrition Foundation to verify correctness of statements to appraise this application.
- I hereby authorize the School Nutrition Foundation to utilize information about and from my application for public relations purposes, publicity, orother scholarship opportunities.
- I hereby authorize the School Nutrition Foundation to share my application with Winston Industries.
Full Name:
Date (MM/DD/YYYY):