School Nutrition Activity Reporting Form

Name of Contact Person: Name of Contact Person: First Last
Email:
Contact Person's Phone: Contact Person's Phone: - ### - ### ####
Contact Person's FAX: Contact Person's FAX: - ### - ### ####
Name of School:
Name of School District:
Address of School: Address of School:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Title of Activity:
Overall Objective of Activity:
Target Audience:
How Was it Promoted?:
Cost (itemize if possible):
How did the activity get started?:
Why Did the Activity Get Started?:
People Involved:
Description of the Activities/Methods/Strategies and Planning Steps:
Quotes About the Activity:

Examples are quotes from the food service director, staff, students, teachers, parents, administrators, and community members.