Request for UC CalFresh Nutrition Education Program comprehensive services

✻ = Required

Thank you for your interest in nutrition education services. Please fill out this form as completely as possible so we can determine how we can best serve your agency or school.

Your Name ✻

Your position or title ✻

The best way to contact you: (please enter your phone or e-mail) ✻

School or site name where you are requesting services ✻

Grade level and/or age of students ✻

Number of students at your site

Does your site qualify as a low-income site?

yes no I don't know

Please select all the services you are interested in partnering with us on:

Nutrition Education curricula (includes 4 cooking lessons led by UC staff and curriculum kits for teachers/agency staff) CATCH Physical Education training (for P.E. Specialists, classroom teachers that need to teach P.E., older teens that want to teach P.E.) Garden nutrition education and/or technical assistance Parent/Adult Nutrition Education 4-H S.N.A.C. (student nutrition advisory council) leadership club (for older elementary students) Smarter Lunchrooms Movement technical assistance (for food service) Other nutrition education services

Any other information or requests for services you would like us to know about?