Turnip the Beet - Pilot Program

OMB Control No. 0584-0606
Expiration date: 3/31/2019

Turnip the Beet: High Quality Meals in the Summer Meal Programs
2016 Nomination Form
Instructions: Please complete the information below for consideration of the 2016 Turnip the Beet
Award. Nominations will not be considered if there is missing information. Submit this completed form
via email to your Summer Meals State Agency contact. Submissions deadlines vary by State so please
contact your State Agency to learn their submission deadline. Contact information for all participating
State Agencies is available on the Turnip the Beet Overview Handout.
Note: The Agency has the right to reproduce, publish or otherwise use the data in the application for
this award, and authorize others to reproduce, publish, or otherwise use the data in the application for
this award for Federal purposes.

Section 1: General Information
Nomination for:

 Bronze

 Silver

 Gold

*See the Turnip the Beet Overview for more information on the Award categories.

Sponsor’s name or Program name:
*The Sponsor’s name or Program name on the Award Certificate will be typed exactly as written in the Sponsor’s name or
Program name section above. Please ensure that the entire name with any appropriate punctuation is clearly indicated. Award
Certificates will not be re-printed due to an incorrect or illegible Sponsor name or Program name.

 Summer Food Service Program Sponsor

 Seamless Summer Option Sponsor

Contact information
Name & Title:
Phone number:
Email address:
Mailing Address (Street, City, State, and Zip code):

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0606. The time required to
complete this information collection is estimated to average 1.5 hours per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

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Section 2: Narrative
Please provide a short summary (no more than 500 words) describing how the meals served at the
nominated Sponsor’s summer sites are high quality. Be as specific as possible and illustrate: how the
meals are 1) culturally appropriate and 2) age-appropriate for the population being served; 3) whether
tastes tests or another tool is used to introduce and gather feedback on new foods and menu items; 4)
how healthy foods are marketed (such as fun descriptors used in menus and signage, placement of
healthy foods in the service area, and other Smarter Lunchroom strategies); and 5) any food and
nutrition-based activity that aligns with the meal served. Sponsors that use Team Nutrition resources
at their Summer Site will receive bonus points. Specific details will be given greater value than
generalities.

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Section 2: Narrative

Section 3: Menus and Other Supporting Documents
Along with submitting this completed nomination form, a one month menu must be submitted for
consideration of a Turnip the Beet Award. Please see the attached sample menu for an example of how
detailed the menus should be. For consideration of meeting the whole grain criteria, at least one of the
following items must be submitted for each whole grain-rich menu item to verify the items are whole
grain-rich as defined by the National School Lunch Program: ingredient lists, product formulation
statements or recipes. In addition, you may submit other supporting documents to further demonstrate
the quality of their meals, such news clips about the program, photos, testimonials, or invoices for local
food purchases. If photos contain pictures of children, please include a signed photo release form with
your application.
------------------------------------------------FOR OFFICE USE ONLY---------------------------------------------------State Agency
State Agency:
Name and title of reviewer:
Reviewer’s email:
Please ensure the Sponsor being nominated for the award is in good standing with a clean review (no
major findings or all corrective actions are complete and implemented) during their last compliance
review, and the Sponsor was not found seriously deficient in the past two years, at the time of the
application, and has never been terminated from the Summer Meal Programs.
Brief statement supporting this Sponsor’s recognition (optional):

Approved:

 Yes

 No

Signature:

Date:

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Regional Office/FNS Headquarters
Regional Office or Headquarters:
Name and title of reviewer:
Reviewer’s email:
Approved:

 Yes

 No

Signature:

Date:

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Attachment

Turnip the Beet Award: Sample Menus
*Water is offered during all meal services
Meal
Breakfast

Day 1
Rise n’ Shine Parfaits:
Whole grain granola
Low-fat plain yogurt
Frozen mixed berries
1% and fat-free milk

Lunch

Zesty spaghetti casserole
Mixed greens salad with local cherry
tomatoes

Snack

Scrambled eggs

Day 2

Toast
Tomato juice
Fresh, sliced cantaloupe
1% and fat-free milk
Southwest Chicken Wrap:
Whole wheat tortilla
Grilled chicken
Lettuce
Salsa

Day 3
Whole-wheat english muffin with
peanut butter
Whole grain cereal
Banana
1% and fat-free milk
BBQ Pork sandwich on whole grain
bun
Corn muffins

Roasted vegetables (zucchini, summer
squash)

Black beans

Orange slices

Steamed broccoli

1% and fat-free milk

Fresh pineapple chunks

Whole-grain crackers

1% and fat-free milk
Crunchy carrot and celery sticks

Low-fat plain yogurt

Fat-free chocolate milk

Hummus

Frozen mango

1% and fat-free milk

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Roasted green beans
Local apple slices
1% and fat-free milk