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

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  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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