Harvest Hope Food Bank - Child Feeding Programs Monthly Report

Child Feeding Programs Monthly Report

Site Name

Agency #

Today's Date

(Example: 01/30/2006)

Report Month

Last month when services were delivered

Report Year

Did you have a health department visit this month?

Service

Meals Served

Snacks Served

Days Open This Month

Hours open each day

Days open each week

Weeks open this month

Children Attending A

Count every child who attended

Number of NEW Children THIS Month

Ages of Children Attending This Month

B + C + D + E + F should equal A

0 to 4 B

5 to 10 C

11 to 15 D

16 to 18 E

Over 18 but still in high school F

Racial/Ethnic Background of Children Attending This Month

G + H + I + J + K + L + M should equal A

African-American G

Asian H

Caucasian I

American Indian/Alaskan Native J

Native Hawaiian/Pacific Islander K

Other L

Latino/Hispanic M

Did You Operate a Backpack Program?

Number of Days Backpacks Sent Home

Backpacks Filled

Children with a Backpack

Count every child who took home a backpack this month

Support

UNPAID STAFF are regular helpers who play vital roles in the operation of your program but do not get paid. At some sites, the director is unpaid. This person would be considered an UNPAID STAFF member. However someone who occasionally volunteers to help with homework (and does not get paid) would be considered a VOLUNTEER.

Staff (including site director)

Total number of paid staff

Number of paid staff who are parents of participating children

Total number of unpaid staff

Number of unpaid staff who are parents of participating children

Volunteers

Total number of one-time or occasional volunteers

Do not include unpaid staff

Number of volunteers who are parents of participating children

Activities