Arkansas Department of Education Division of Elementary and Secondary Education Child Nutrition Renewal Agreement and Policy Statement for the 2017-2018 School Year

Memo Information

Memo Number
Memo Date
Memo Type
Child Nutrition
Regulatory Authority
7 CFR 210, 215, 220, 227, 245; 2 CFR 200; PL 108-245; Healthy Hunger Free Kids Act of 2010
Response Required
Superintendents; Principals

Primary Contact Information

Memo Reference

No references available.

Memo Text



The purpose of this memo to provide School Food Authorities/Local Education Agencies (SFA/LEAs) the information needed to complete the Renewal of Agreement and Policy Statement between the Arkansas Department of Education, Child Nutrition Unit (ADE CNU) and the SFA/LEA. 


The Renewal of Agreement and Policy Statement as well as all Attachments (Renewal Agreement Packet) are an assurance between the SFA/LEA and ADE CNU that all aspects of the 2015-16 Original Agreement, Policy Statement and all Attachments are still in effect.  The Renewal Agreement Packet updates district specific information for the upcoming school year as well as revises the Original Agreement Packet with appropriate state and federal regulations and requirements.


Each School District Superintendent will receive by mail, two sets of the Renewal Agreement Packet between ADE CNU and the SFA/LEA.  This Renewal Agreement Packet must be completed to participate in the National School Lunch Program, School Breakfast Program, Afterschool Snack Program, Seamless Summer Option and/or the Special Milk Program for the regular school term and/or the summer sessions of the 2017-18 school year.  The Renewal Agreement Packet includes:

A.    Renewal Agreement Checklist

B.    Instructions for Completing Renewal Agreement Packet

C.    Renewal of Agreement

D.    School District Specific Schedule A

E.    Menu Planning Attestation Statement

F.    Meal Patterns (breakfast, lunch, Pre-K, afterschool snack, comparison chart)

G.   Health Inspection Report for 2016-17 School Year

H.    Wellness Attestation

I.      Civil Rights Assurances Attestation Statement

J.     Attestation Statements (Paid Lunch Equity, On-Line Claims, Professional Development)

K.    Renewal of Policy Statement

L.     Meal Count and Collection Procedures

M.   Free and Reduced Price Materials Attestation

N.    FRP Meal Application Materials Requirement Checklist (for reference only)

O.   Distribution of FRP Meal Application Materials Checklist

P.    Child Nutrition Contact and Appeals Hearing Attestation

Q.   Prototype Letter to Household (Frequently Asked Questions)

R.    Prototype Instructions on How to Apply

S.    Prototype Free and Reduced Price Meal Application

T.    Prototype Meal Eligibility and Verification Letters

U.    Public Release 2017-18

V.    Income Eligibility Guidelines for 2017-18 School Year

W.  Safety Net School Districts 2017-18 School Year

X.    Schedule B Afterschool School Snack Application

Y.    Schedule C-18 Seamless Summer Option Application


The SFA/LEA must complete the Renewal Agreement Packet indicating the programs the school district plans to operate during 2017-18 school year, the dates of operation, and the number of serving days for each program.  If any information that is part of the Original Agreement or Renewal Agreement changes during the school year, the SFA/LEA must submit those changes in writing, to ADE CNU immediately.


The above forms are attachments to this memo and are available on the Forms page of the Child Nutrition website.  While some of the printed forms mailed to the district Superintendent are on colored paper it is not necessary for these forms to be printed on colored paper, they can be submitted to ADE CNU on white paper.  Some of the forms listed above are available in fillable format on the Forms page of the Child Nutrition website.  These forms must be opened in Internet Explorer to be completed. It is not necessary for these pages to be printed on colored paper.


Please read this memo and the Instructions for Completing Renewal Agreement Packet carefully prior to completion and submission of forms. If there are any questions, please contact the SFA/LEA’s Area Specialist at 501-324-9502.

May 12, 2017 DEADLINE:

Please DO NOT HOLD any paperwork for a new superintendent’s signature and/or meal prices.  The Renewal of Agreement and Policy Statement must be updated at any time during the school year when changes are made within the SFA/LEA.  If the district has a change in Superintendent or Child Nutrition Director, a letter from the district with the new Superintendent and/or Child Nutrition Director’s original signature and contact information must be sent to Suzanne Davidson, Director, Child Nutrition Unit, Arkansas Department of Education at the address below.


Please complete and return the checklist enclosed with the mailed packet to be sure that all requested materials that require original signatures are signed and returned.

Mail both sets of the Renewal Agreement Packet by the May 12, 2017 DEADLINE to:

ADE Child Nutrition Unit
2020 West 3rd Street

Suite 404
Little Rock, AR 72205-4465


ADE CNU will mail one signed copy of the Renewal Agreement Packet to the Superintendent of the School Food Authority (SFA/LEA), following approval by Suzanne Davidson, Director, ADE Child Nutrition Unit. 


It is extremely important that ALL DISTRICT PERSONNEL that have responsibilities for Child Nutrition Program compliance have copies of the 2017-18 Renewal of Agreement, Renewal of Policy Statement and ALL Attachments.



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