Summer Food Service Program Note - 5/26/2022
North Iowa CSD will offer the Seamless Summer Option as a closed enrolled site for the month of June, serving students enrolled in the Summer School Program.
For more information on the Summer Food Service Program, please visit https://educateiowa.gov/pk-12/
Please visit http://www.fns.usda.gov/
School Lunch Menus
Applications & Forms
Please complete and submit one application per household.
Return completed forms to North Iowa Community School, 111 3rd Ave. N.W., Buffalo Center, Iowa 50424
Federal Non-Discrimination Statement
USDA Nondiscrimination Statement:
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is
prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability,
age, or reprisal or retaliation for prior civil rights activity.
Program information may be made available in languages other than English. Persons with disabilities who require alternative means of
communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the
responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact
USDA through the Federal Relay Service at (800) 877-8339.
To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint
Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-
0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter
must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient
detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed
AD-3027 form or letter must be submitted to USDA by:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
(833) 256-1665 or (202) 690-7442; or
This institution is an equal opportunity provider.
Iowa Non-Discrimination Statement
Iowa Non-Discrimination Statement: “It is the policy of this CNP provider not to discriminate on the basis of race, creed, color, sex,
sexual orientation, gender identity, national origin, disability, age, or religion in its programs, activities, or employment practices as
required by the Iowa Code section 216.6, 216.7, and 216.9. If you have questions or grievances related to compliance with this policy
by this CNP Provider, please contact the Iowa Civil Rights Commission, Grimes State Office building, 400 E. 14th St. Des Moines, IA
50319-1004; phone number 515- 281-4121, 800-457-4416; website: https://icrc.iowa.gov/.”