Form Isbe 65-11b - 21 Day Cycle Menu Page 2

Download a blank fillable Form Isbe 65-11b - 21 Day Cycle Menu in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Isbe 65-11b - 21 Day Cycle Menu with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Sample
21-DAY CYCLE MENU
Child and Adult Care Food Program
Monday
Tuesday
Wednesday
Thursday
Friday
Day 6 - Breakfast
Day 7 - Breakfast
Day 8 - Breakfast
Day 9 - Breakfast
Day 10 - Breakfast
Egg Fritata
Hard Boiled Egg
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
Mixed Fruit
Orange Slices
Blueberries
Apple Slices
Banana
F/V:
______________________
F/V:
______________________
F/V:
______________________
F/V:
______________________
F/V:
______________________
Blueberry Muffin
Oatmeal
WG Toast
WG Honey Kix Cereal
G/B:
______________________
G/B:
______________________
G/B:
______________________
G/B:
______________________
G/B:
______________________
Milk
Milk
Milk
Milk
Milk
Milk:
______________________
Milk:
______________________
Milk:
______________________
Milk:
______________________
Milk:
______________________
Other: ______________________
Other: ______________________
Other: ______________________
Other: ______________________
Jelly
Other: ______________________
Day 6 - Lunch
Day 7 - Lunch
Day 8 - Lunch
Day 9 - Lunch
Day 10 - Lunch
Chicken Parmesan
BBQ Pork
Beef Chili
Tuna Salad
Toasted Cheese Sandwich
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
Pineapple
Carrot Sticks
Applesauce
Sliced Peaches
Watermelon
F:
______________________
F:
______________________
F:
______________________
F:
______________________
F:
______________________
Brussel Sprouts
Steamed Corn
Cauliflower
Romaine Lettuce
Snap Peas
V:
______________________
V:
______________________
V:
______________________
V:
______________________
V:
______________________
WG Breadstick
WG Bun
Cornbread
Pita Bread
Whole Wheat Bread
G/B:
______________________
G/B:
______________________
G/B:
______________________
G/B:
______________________
G/B:
______________________
Milk:
______________________
Milk
Milk:
______________________
Milk
Milk:
______________________
Milk
Milk:
______________________
Milk
Milk:
______________________
Milk
Other: ______________________
Other: ______________________
Other: ______________________
Other: ______________________
Other: ______________________
Day 6 - Snack
Day 7 - Snack
Day 8 - Snack
Day 9 - Snack
Day 10 - Snack
(Serve 2 of these 4 components)
(Serve 2 of these 4 components)
(Serve 2 of these 4 components)
(Serve 2 of these 4 components)
(Serve 2 of these 4 components)
M/MA: ______________________
M/MA: ______________________
Peanut Butter
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
Cottage Cheese
100% Cranapple Juice
Grapes
Pineapple
F:
______________________
F:
______________________
F:
______________________
F:
______________________
F:
______________________
Celery Sticks
Salsa
V:
______________________
V:
______________________
V:
______________________
V:
______________________
V:
______________________
WG Animal Crackers
WG Tortilla Chips
Graham Crackers
G/B:
______________________
G/B:
______________________
G/B:
______________________
G/B:
______________________
G/B:
______________________
Milk:
______________________
Milk:
______________________
Milk:
______________________
Milk:
______________________
Milk:
______________________
Other: ______________________
Other: ______________________
Other: ______________________
Other: ______________________
Other: ______________________
M/MA:
Meat/Meat Alternate – may be served in Place of the entire grains component at breakfast a maximum of three times per week.
F:
Fruit – may substitute fruit with an additional serving of vegetable at lunch and supper.
V:
Vegetable – when two vegetables are served, they must be two different kinds of vegetables.
G/B:
Grain/Bread – at least one serving of grains per day must be whole grain (WG) rich.
Milk:
Age 1 year – unflavored whole milk; Ages 2-5 years – unflavored low-fat milk or unflavored fat-free milk; Ages 6 years and older – unflavored low-fat milk or unflavored fat-free
milk or flavored fat-free milk.
Other:
Additional items served but not necessary to meet meal pattern requirements
ISBE 65-11B (7/17)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 5