Please go to the chart below to see if you are eligible.
please click here to download the form, and send it back to [email protected]
| 2024-2025_food_form.pdf |
News Release/Notification to the Community
Closed Enrolled (Non-Needy area), Camp and Conditional Non-Congregate Sites
Bais Sholom is participating in the Summer Food Service Program. Meals will be
provided to all eligible children free of charge. (To be eligible to receive free meals at a
residential or non-residential camp or at a conditional rural non-congregate site, children must meet income guidelines for free or reduced price meals in the National School Lunch Program.
The income guidelines for free or reduced price meals by family size are listed on the next
page). Foster children or children who are part of households that receive Supplemental
Nutrition Assistance Program (SNAP) benefits or benefits under the Food Distribution Program or Indian Reservations (FDPIR), or Temporary Assistance to Needy Families (TANF) are automatically eligible to receive free meals.
Acceptance and participation requirements for the Program and all activities are the same for all children regardless of race, color, national origin, sex (including gender identity and sexual orientation), age or disability, and there will be no discrimination in the course of the meal service. Meals will be provided, at a first come, first serve basis, at the sites and times listed below:
BAIS SHOLOM 228 W Greene St. Postville IA. from June 1 through June 24
BREAKFAST 9:45-10:30
LUNCH 1:30-2:30
SUPPER 6:30-7:30
and then again from july 2 through august 18
Breakfast 10:30-11:00
Lunch 2:15-3:00
Supper 7:15-8:30
USDA Nondiscrimination Statement In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online
at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
1. mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, DC 20250-9410; or
2. fax: (833) 256-1665 or (202) 690-7442; or
3. email: [email protected]
This institution is an equal opportunity provider. Iowa Nondiscrimination Statement
It is the policy of this CNP provider not to discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, national origin, disability, age, or religion in its programs, activities, or employment practices as required by the Iowa Code 216.6, 216.7, and 216.9. If you have questions or grievances related to compliance with this policy by this CNP Provider, contact the Iowa Civil Rights Commission, 6200 Park Ave, Suite 100, Des Moines, IA 50321; phone number 515-281-4121 or 800-457-4416; website: https://icrc.iowa.gov/.
