Summer Food Service Program (SFSP) Application

Neighborhood and Community Services

12011 Government Center Parkway, Tenth Floor
Fairfax, VA  22035-1115
Phone 703-324-4600, TTY 711
Fax 703-222-9792

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 703-324-5330, 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):

Administrative Contact Name:

Contact Title:

Contact Phone Number:  Contact Email:

Site Supervisor Contact Name:

Site Supervisor Title:

Site Phone Number: Site Email Address:

Would you like to participate as a "meal service" site? Yes No Maybe (Need Additional Information)

Indoor 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?  


Reasonable accommodations will be made upon request. 703-324-5330, TTY 711.

Contact Fairfax County: Phone, Email or Twitter | Main Address: 12000 Government Center Parkway, Fairfax, VA 22035
Technical Questions: Web Administrator

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