Summer Food Service Program (SFSP) Application

To become a meal site, please fill-out the application below. Neighborhood and Community Services staff will send you an e-mail stating it has received your application. Approval of your application is determined by the United States Department of Agriculture (USDA). If you have any questions, please call 703-704-6704, TTY 711.


Site Name:

Site Address 1:

Site Address 2:

City: County: State: Zip Code:

Site Phone Number: Site Fax:

Delivery entrance number, if applicable (School Sites):


Site Supervisor:

Contact Title:

Contact Phone Number:  Contact Email:

Assistant Site Supervisor:

Site Supervisor Title:

Site Phone Number: Site Email Address:

Please select whether you will serve meals indoors or outdoors.

Indoors Outdoor

    End Date:  

Days of Operation (Please check box)






How many Days of the SFSP will you operate?  (Program closed Weekends and July 4th)




What is the closest Fairfax County Public School to your site?  

What is your type of site?  





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Technical Questions: Web Administrator

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