Moolah for Schools - 2020-2021 Application - Contact Information *Application must be completed by Food Service Director
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Moolah for Schools - 2020-2021 Application School Information 1. Contact Information *Application must be completed by Food Service Director First Name Last Name School Name School Address Apt/Suite/Office City State Zip Email Address Phone Number School Website
School District Enrollment County 2. Is the shipping address the same as the school address? Yes No 3. Shipping Address Street Address Apt/Suite/Office City State Zip
4. Does the building have a loading dock? Yes No 5. Does shipment need to be moved inside your building? Yes No 6. Do you need assistance to unload your items from the truck for you? Yes No 7. Delivery Instructions
8. School Meal Program Data Breakfast Average Daily Participation (ADP) Lunch Average Daily Participation (ADP) Free/Reduced % Expected ADP increase 9. Contact information to accept shipment Name Phone Number 10. I confirm that I am the school Food Service Director for this building. Yes 11. I confirm that this school participates in the National School Lunch Program. Yes 12. I confirm that this school includes as least one of the grades K-12. Yes
13. I confirm that I have reviewed the grant overview packet in its entirety. Yes 14. I confirm that I have received support and approval from my building principal to apply for this grant. Yes (untitled) 15. Please select your grant funding option. Option 1: Blend It Option 2: Better with Breakfast Option 3: Moo Brew Option 4: Hot Chocolate Option 5: Powered by MILK 16. Option 1: Blend It Please select your package. Package 1: Waring Commercial WSB65 18" Heavy-Duty Big Stix® Hand Held Immersion Blender (5/1/2"L x 5"W x 33"H), 5-gallon bucket with spout, smoothie implementation marketing kit Package 2: Vitamix XL™ 1.5 gal Programmable Speed Blender (8 1/2"L x 19"W x 18 11/16"H), smoothie implementation and marketing kit
17. Option 2: Better with Breakfast This package includes an option to select one cart and one cooler. Please make your cart selection below. Cart Option 1: Two (2) Nordon Breakfast Transit Cart with 3 shelves (63”H x 48”L x 18”W) Cart Option 2: Two (2) Hubert Mobile Mobile Classroom Food Cart (36”L x 18”W x 69”H) Cart Option 3: Breakfast Cart Cart Option 4: Cold Sell Hot/Cold Cart (97.5” L x 30.5” D x 55” H, with wings extended) 18. Please select your breakfast cart preference. Hubert one sided cart with accessories (73”L x 30”W x 56”H) Hubert two sided cart for higher volume (73”L x 30”W x 56”H) 19. Hubert Mobile Cart Nest & Stack Bins (25"L x 16"W x 8 1/2"D) *Colors may vary by in stock options. Insulated cooler bags fit on bottom shelf. Maximum order quantity is 12. 20. Cooler Options Cooler Bags Rolling Coolers
21. Cooler Bags Maximum order quantity is 20 total. Norris Milk Crate Bag (15.5”l x 15.5”w x 14”h) Norris Meal Bag (15.5”l x 15.5”w x 7”h) 22. Rolling Coolers Cold Sell Rolling Cooler (4 crate) Cold Sell Rolling Cooler (2 crate) 23. Please enter quantity of Cold Sell Rolling Cooler (2 crate). Maximum order quantity is 4. 24. Option 3: Moo Brew Please select your package. Package 1: Cambro Bar 540 Small Portable Beverage Bar (54”L x 25 7/8”W x 46 1/8"H), latte implementation and marketing kit Package 2: Hubert 5 gallon Iced beverage dispenser (up to 4), latte implementation and marketing kit Package 3: West Bend® 100 Cup Aluminum Classic Urns Coffee Maker (14 1/2"Dia x 23"H), Cambro 5-gallon dispenser, latte implementation and marketing kit
25. If you would like to order an ice machine to compliment your iced beverage dispenser, please make your selection below. Hubert Small Ice Machine (15”L x 24”W x 38”H, 58 lbs per day, 36 lbs storage bin) Hubert Large Ice Machine (24” L x 24”W x 39” H, 250 lbs per day and 75 lb storage bin ) No, I do not need an ice machine. 26. Option 4: Hot Chocolate Nordon Chocolady Machine (10.6 quarts, 42-8oz servings, 11.3 x 16.2 x 22.9 inches), Cambro 5-gallon dispenser, hot chocolate implementation and marketing kit 27. Option 5: Powered by MILK Please select your package. Package 1: Two (2) rolling cooler barrels, milk marketing kit Package 2: AHT ACM Open Air Cooler with Night Curtain (28.2” W x 28.4” D x 77.7” H), milk marketing kit Package 3: IDW G-6c Countertop Cooler, (22.125” W x 21.125” D x 36.125” H) milk marketing kit Package 4: Nordon traditional drop front milk cooler with wrap, milk marketing kit 28. Please select your cooler option. Cold Sell Rolling Cooler (4 crate) Cold Sell Rolling Cooler (2 crate)
29. Please select cooler size. SMF34 (8 case, 34” x 33.5” x 47”) SMF49 (12 case, 49” x 33.5” x 47”) STF49 (Dual side, 12 case, 49” x 33.5” x 47”) SMF58 (16 case, 58” x 33.5” x 47”) STF58 (Dual side, 16 case, 58” x 33.5” x 47”) 30. Option 6: On the Moo-ve Package 1: Carts Package 2: Coolers Package 3: Cambro GoBoxes Package 4: Tent Package 5: Signage Package 6: Accessories (untitled) 31. Package 1: Carts Meal Carts Other Carts
32. Meal Carts Two (2) Nordon Breakfast Transit Cart with 3 shelves (63”H x 48”L x 18”W) Two (2) Hubert Mobile Classroom Food Cart (36”L x 18”W x 69”H) 33. Hubert Mobile Cart Nest & Stack Bins (25"L x 16"W x 8 1/2"D) *Colors may vary by in stock options. Insulated cooler bags fit on bottom shelf. Maximum order quantity is 12. 34. Other Carts Maximum order quantity is 10 total. Folding Hand Truck (40”H x 24”W x 3"D) *275 pound capacity Metal Flatbed Truck (24”W x 48”L) *1400 pound capacity Folding Aluminum Platform Truck (48”L x 24”W) *600 pound capacity 2-shelf Utility Cart (45”L x 25”W x 33"H) *500 pound capacity 3-shelf Utility Cart (44"L x 25-1/2"W x 32.5”H) *500 pound capacity 35. Package 2: Coolers Cooler Bags Rolling Coolers IGLOO® Ice Chests
36. Cooler Bags Maximum order quantity is 20 total. Norris Milk Crate Bag (15.5”l x 15.5”w x 14”h) Norris Meal Bag (15.5”l x 15.5”w x 7”h) 37. Rolling Coolers Cold Sell Rolling Cooler (4 crate) Cold Sell Rolling Cooler (2 crate) 38. Please enter quantity of Cold Sell Rolling Cooler (2 crate). Maximum order quantity is 4. 39. IGLOO® Ice Chests Maximum order quantity is 20 total. Igloo® Ice Chest - Rolling, 60 Quart Igloo® Ice Chest - Glide, 110 Quart 40. Package 3: Cambro Cam GoBoxes Cambro Cam GoBox® Front Loading Cambro Cam GoBox® Top Loading
41. Cambro Cam GoBox® Front Loading Maximum order quantity is 10 total. Cambro Cam GoBox® Black Plastic Front Loading Pan Carrier – 18” (25 2/5"L x 17 3/10"W x 18 7/10"H) Cambro Cam GoBox® Black Plastic Front Loading Pan Carrier – 25” (25 2/5"L x 17 3/10"W x 25 4/5"H) 42. Cambro Cam GoBox® Top Loading Maximum order quantity is 20 total. Cambro Cam GoBox® Black Plastic Top Loading Pan Carrier (23 1/2"L x 15 7/10"W x 12 3/5"H) Cambro Cam GoBox Insulated Food Pan Carrier - EPP280 with Web Strap (15.4" L x 13" W x 12.4" H) Cambro Cam GoBox® Milk Crate Box (16 1/10"L x 16 1/10"W x 15 9/10"H) 43. Cambro Cam GoBox® Accessories Maximum order is 20 total. Cambro Cam GoBox® Blue Plastic Half Size Camchiller® (12 4/5"L x 10 2/5"W x 11/5"H) Cambro Cam GoBox® Red Plastic Full Size Camwarmer® (20 9/10"L x 12 4/5"W x 1 1/5"H) Cambro Cam GoBox® Black Plastic Front Load ThermoBarrier® (20 9/10"L x 12 9/10"W x 1 3/5"H)
44. Cambro Cam GoBox® Red Plastic Pan Carrier Dolly (25"L x 17 1/2"W x 7 1/4"H) Dolly carries an estimated 2-4 boxes each. Maximum order quantity is 5. 45. Package 4: Tent 10′ x 10′ V3 Super Duty Canopy Tent with sides 46. Package 5: Signage Floor Decals Curbside Packages 47. Floor Decals: 16 bottles prints, 8 social distancing signs, 12 directional arrows, 3 floor decal lines Maximum order is 4. 48. Curbside Packages Curbside Package A: 1 A frame, 1 roller sign, 2 yard sigsn Curbside Package B: 2 A frames, 5 yard signs Curbside Package C: 2 A frames, 2 roller signs, 5 yard signs Curbside Package D: 6 roller signs
49. Package 6: Accessories Beverage dividers Heating & cooling accessories Other accessories 50. Beverage dividers The beverage divider can be used to hold smoothies, yogurt parfaits, hot chocolate milk or lattes. Choose divider based on insulated bag being used or ordered. Maximum order quantity is 10. Sterno Smoothie/Parfait Divider *double layer, fits in insulated milk crate bag Norris Smoothie Divider *single layer holds 18, fits in insulated meal bag Sterno Parfait Divider *single layer, fits in breakfast insulated bag Cambro Insulated Beverage Holder *set of 5, holds 15 each and can break apart to fit in smaller Cambro boxes 51. Heating & Cooling Accessories Hot/Cold Pack - Order 1 per bag. Maximum order quantity is 20. Icy-Cools Clear Purified Water Reusable Ice Cubes (2"L x 2"W) Quantity: 300 Sterno® Microcore® Thermal Hot/Cold Pack (8"L x 12"W) 52. Other Accessories Anvil Head Countertop T-Shirt Sack Rack - 12"L x 9"D x 17"H
(untitled) 53. Please explain why you are applying for this grant. 54. Please describe how you plan to execute implementation.
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