PARENTS & STUDENTS
REPORT FORMS
Long John Donut or Cereal with Toast and Fresh Fruit
Popcorn Chicken with Cheez Its or Hamburger on Bun Baked Beans and Pineapple Cup
Breakfast on a Stick or Cereal with Toast and Fresh Fruit
BBQ Riblet on Bun or Crispitos Steamed Broccoli and Raisins
Breakfast on a Stick or Cereal with Toast and Fresh Fruit
Chicken Fajita or Hot Ham and Cheese on Pretzel Bun Green Beans and Peach Cup
Funnel Cake or Cereal with Toast and Fresh Fruit
PIZZA HUT PIZZA - Pepperoni or Turkey Deli Carrots with Ranch and Applesauce
Waffles with Syrup or Cereal with Toast and Fresh Fruit
Rotini Pasta with Meatsauce or Cheesy Pull Aparts Corn and Fruit Slushie
In accordance with Federal Civil Rights law and U.S. Department of Agriculture (USDA) Civil Rights regulations and policies, the USDA, its agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior credible activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g , Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer, and lender.