ohio state university extension document title sub head 1 osue snap-ed adult & parent curricula...
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OHIO STATE UNIVERSITY EXTENSION
Document TitleSub head 1
OSUE SNAP-Ed Adult & Parent Curricula
HOST SITE INFORMATION SHEET / CHECKLIST
Host Site / Organization Information:
____________________________________________________________Host Site/Organization Name Street Address
___________________________________________________________________City County State
Zip
___________________________________________________________________Host Site Contact Person: Name & Phone Number
___________________________________________________________________Day of Class: Host Site Point Person: Name & Phone Number
Dates of series: _____________________________________________________
How would you classify the organization? Please check:
Food Pantry Church/Faith Based Community Center Health Clinic/Center Wellness Center Housing Development
Other: ________________________________________________________
Describe the Space: (E.g. employee kitchen) ____________________________
Please confirm the agency serves SNAP eligible participants: Confirmed
OHIO STATE UNIVERSITY EXTENSION
Document TitleSub head 1
OSUE SNAP-Ed Adult & Parent Curricula
Checklist: Minimum Requirements for Host Site class space
Please confirm/check:
Refrigeration for perishable groceries
Hot Running Water
Sink large enough to wash dishes
Working electrical outlets
Work space sizable enough for all participants to prepare recipes
Enough tables and chairs to accommodate entire group
The space is far enough away for potential distracting activities (e.g. exercise class)
Host site has identified a committed site contact/point person for day of & during classes. Point person helps with set-up of class and greeting participants. Point person has an understanding of the course and the participants.
** A heat source is not a requirement for the space, but it is however a requirement for the course.
Resource Sharing:
Will host site be providing resources? Resource sharing is encouraged, not required.
Yes No
Please Check & provide description of resources host site to provide:
All Kitchen Equipment (bowls, plates, utensils, cooking equipment, pots/pans)
Some Equipment. Describe:_______________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________
OHIO STATE UNIVERSITY EXTENSION
Document TitleSub head 1
OSUE SNAP-Ed Adult & Parent Curricula
Resource Sharing: Please check resource to be provided by host site
Food: (In-Class Ingredients for Recipes / Take-Home Groceries.)
Describe: _________________________________________________
Shopper Class Assistant Culinary Volunteer Instructor
Volunteer to assist. Describe: ____________________________________
_______________________________________________________________
Childcare Transportation Participants
Was a grant secured to host OSUE SNAP-Ed Cooking Matters series at this site:
No Yes, Describe:_________________________________________
Is site providing funding? No Yes. Describe:_______________________
Site to provide other resources: Describe:___________________________