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Farm to ECE Location Map
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What is Farm to ECE/CACFP?
Quality Care for Children
Farm to ECE Location Map
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Nutrition and Agriculture Education
Gardening
Local Food Purchasing
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Harvest of the Month
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Harvest Finder
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Training, Events & News
Training & Events
News
Become a member
About Us
Overview
What is Farm to ECE/CACFP?
Quality Care for Children
Farm to ECE Location Map
Resource Library
All Resources
Nutrition and Agriculture Education
Gardening
Local Food Purchasing
Provider Resource Hub
Harvest of the Month
HotM Overview
Harvest Finder
HotM Poster Calendar
Cookbooks
Storybooks with Teaching Guides
Training, Events & News
Training & Events
News
Farm to ECE Location Map
Contact
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Map Membership Form
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*
" indicates required fields
Your organization is a(n):
*
Early Care and Education Program
Farmer or Local Food Source
ECE Program Type
Child Care Learning Center
Family Child Care Learning Home
Head Start/Early Head Start
Public School Pre-K
License-Exempt Program
Other
Describe your program
*
Number of Children Enrolled
*
Farm or Business Name
*
Official Business or Entity Name
*
Doing Business As
Is your organization licensed or exempt from licensure?
*
Licensed
Exempt
Licensing Number
*
Your Website
URL to your profile on the DECAL (qualityrated.org) website
Local Food Source Type
*
Farm, farmer's market, or farm stand
Small, local, or regional distributer
Large, broadline food distributer
Online-only delivery company
Grocery store or warehouse store
Foodservice management company/delivered meal service
Other
Please describe your food source type
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Georgia County
*
Ex: Atkinson, Barrow, Randolph, etc.
Is the location address zoned to a City of Atlanta school?
*
Yes
No
Phone
*
Organization Email
*
Website or Social Media URL
Does your program participate in the Child and Adult Care Food Program (CACFP)?
*
Yes
No
Is your program Quality Rated?
*
Yes
No
Select Your Rating
*
1 Star
2 Star
3 Star
4 Star
5 Star
The following components are part of our Farm to ECE program. Select all that apply.
*
Local foods are purchased and served to children
Children eat foods that are grown onsite
Children participate in cooking activities
Classroom nutrition and agriculture education
Georgia's ECE Harvest of the Month initiative
Outdoor learning space
We grow food onsite
Composting
Families help care for the garden
Family engagement nutrition activities
Onsite farmer's market, farm stand, or CSA pick-up
Other
What foods do you grow onsite? Select all that apply.
*
Outdoor garden beds
Outdoor container garden
Indoor container garden
Indoor hydroponic garden
Fruit trees or bushes
Other Farm to ECE components: please describe your other relevant activities or programs.
*
Locally-grown or produced items we sell
*
Fruits, vegetables, beans, and/or herbs
Meat, poultry, or fish
Milk
Eggs
Other
Please list any additional items
*
Services Available
*
Delivery
Online Ordering
Field trips to our farm or facility
Classroom or gardening activities at a customer's site
Support or resources to help ECE programs start or maintain a garden
Other
Minimum Delivery Order Amount
*
Please include a number and a unit, as needed.
Please list other available services
*
Service Area
*
Other Information
*
Have you participated in a Farm to ECE program with any of the following partner organizations (select all that apply):
ECE Farmer Champion
Quality Care for Children:
Farm to ECE Mini-Grant Recipient, Harvest of the Month grant recipient
Hand, Heart, Soul Project:
Clayton Collective, Collaborative and/or Champion Program
Georgia Organics:
Farm to ECE mini-grant recipient or family farm share participant
HealthMPowers:
Georgia ECE Nutrition and Physical Activity Recognition Pilot Program Award Recipient
Small Bites Adventure Club:
Member or Veggie Ready Program Participant
Georgia Department of Early Care and Learning:
Farm to ECE Mini-Grant Recipient
Georgia Department of Public Health North Central Health District:
Farm to ECE/SHINE participant
Open Hand Atlanta:
Strong Roots Program
Other
ECE Farmer Champion Award Year(s):
*
Please list any other recognitions
*
Program Highlights (250-character max)
*
Organization Logo
Drop files here or
Select files
Max. file size: 250 MB, Max. files: 1.
Upload up to three photos that display your Farm to ECE work
Drop files here or
Select files
Max. file size: 250 MB, Max. files: 3.
Photograph Consent
*
I have parent/family permission to share any photos of children submitted in this form and will obtain parent/family permission to share any photos of children submitted in the future.
Location Consent
*
I attest that I have the authority to add my organization's location to the map.
Local Sales
*
We currently sell, or are interested in selling, locally-grown or produced foods to early care and education programs in Georgia.
Signature
*
First
Last
Date
*
MM slash DD slash YYYY
Name
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