New Applicant Information Form

The Minnesota Department of Education (MDE) administers certain USDA Child Nutrition Programs including School Nutrition (SNP), Child and Adult Care Food Program (CACFP), Special Milk Program (MILK), and the Summer Food Service Program (SFSP). This survey should be completed for organizations or schools that are ready to submit an application for these programs. If your organization is not ready to submit an application, please review the MDE website for more information about these programs.

This form is the initial submission of information and intent to apply for SNP, CACFP, Milk and SFSP. MDE will use the information provided to pre-screen new applicants to ensure eligibility for the USDA Child Nutrition Programs. MDE will also use the information to create your organization's access to the Cyber-Linked Interactive Child Nutrition System (CLiCS). Once you receive access to CLiCS, your organization can submit the sponsor and site applications for the program you designate. Once submitted, the application will be routed to MDE staff for assignment and an MDE staff person will contact you. Depending on the Program, there may be other enrollment requirements, for example CACFP may require a management plan.

If you have questions about filling out this form, complete the Customer Service Form, or call our office at 651-582-8526 or 800-366-8922 (toll free, Minnesota only).

Data entered on this form cannot be saved. All applicants should have the following information available before you begin:

Organization Information
- MDE will use the information to match to the various identification numbers and MMB Supplier portal. Please make sure the name and addresses provided match the information registered to your tax ID numbers, Unique Entity Identifier, and MMB supplier/vendor number.
Federal Tax ID Number IRS Employer Identification Number
- If your organization is non-profit, tax-exempt status must be in good standing. IRS Charities and Nonprofits
Unique Entity Identifier. The (UEI) ID is a 12-character alphanumeric ID assigned to an entity by SAM.gov. The DUNS Number has been removed from SAM.gov. SAM.gov now require use of the new Unique Entity ID.
- Existing registered entities can look here to find your Unique Entity ID.
- Quick Start Guide . New entities can get their Unique Entity ID at SAM.gov and, if required, complete an entity registration.
Minnesota Department of Management and Budget-SWIFT Vendor Resources - MMB Supplier/Vendor Number (this is the number used to provide the reimbursement to your organization)

Additional information required to be uploaded in order to submit this form:

School Nutrition Programs (SNP):

Food and Beverage License
Site Identification (ID) Request (one for each site). If more than 5 sites, please contact MDE.
MDE Org Identification Number - use this link to find the MDE-ORG number for the Site ID request form

Child and Adult Care Food Program (CACFP):

Financial Records Requirement for Applicant Information (includes the link to the Estimated Reimbursement Worksheet)
Accounting System and Financial Capacity Questionnaire (ASFCQ) For Newly Formed Organizations
Site Identification (ID) Request (one for each site). If more than 5 sites, please contact MDE.
Supplement for New Multi-Site Sponsors or Sponsors of Legally Separate Sites Information If you plan to sponsor multiple sites or one or more legally separate sites for CACFP.
For-Profit Adult Care Center Enrollment and Eligibility Documentation (for-profit organizations only)
For-Profit Child Care Center Enrollment and Eligibility Documentation (for-profit organizations only)

Summer Food Service Program (SFSP):

Financial Records Requirement for Applicant Information (includes the link to the Estimated Annual Reimbursement Worksheet)
Accounting System and Financial Capacity Questionnaire (ASFCQ) For Newly Formed Organizations
Site Identification (ID) Request (one for each site). If more than 5 sites, please contact MDE.

Milk Program:

Site Identification (ID) Request (one for each site). If more than 5 sites, please contact MDE.

1. Organization Information *This question is required.

Organization Name

Street Address (Must enter address as is on the Unique Entity Identifier and in Swift Supplier Portal)

City

Zip + 4 (must include all 9 numbers, do not include the hyphen).

County

Organization Phone Number

Is this organization (select one): *This question is required.

Federal ID Tax Number (Nine digits and must be in good standing with IRS) *This question is required.

Minnesota Tax ID Number

Unique Entity Identifier number (12 digits, and name should match Unique Entity Identifier search)

Supplier/Vendor Number (10 digits, and should be entered in MMB) from the Minnesota Department of Management and Budget-SWIFT Vendor Resources. The directions to register as a supplier/vendor are in the document Register as a Supplier.