Form Isbe 65-11b - 21 Day Cycle Menu Page 3
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
1
2
3
4
5Sample
21-DAY CYCLE MENU
Child and Adult Care Food Program
Monday
Tuesday
Wednesday
Thursday
Friday
Day 11 - Breakfast
Day 12 - Breakfast
Day 13 - Breakfast
Day 14 - Breakfast
Day 15 - Breakfast
Turkey Sausage
Yogurt
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
Applesauce
Diced Pears
Grapes
Peaches
Apple Slices
F/V:
______________________
F/V:
______________________
F/V:
______________________
F/V:
______________________
F/V:
______________________
WG Pancakes
WG English Muffin
WG Rice Krispies Cereal
Cinnamon Raisin Toast
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: ______________________
Jelly
Day 11 - Lunch
Day 12 - Lunch
Day 13 - Lunch
Day 14 - Lunch
Day 15 - Lunch
Turkey & Cheese Sandwich
Homemade Mac & Cheese
Sweet & Sour Chicken
Hot Roast Beef
Pepperoni Pizza
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
M/MA: ______________________
Mixed Fruit
Blackberries
Carrot Sticks
Peas
Sliced Pears
F:
______________________
F:
______________________
F:
______________________
F:
______________________
F:
______________________
Celery Sticks
Green Beans
Steamed Broccoli
Mashed Potatoes & Gravy
Cucumber Slices
V:
______________________
V:
______________________
V:
______________________
V:
______________________
V:
______________________
WG Bread Slices
Macaroni Noodles
Brown Rice
WG Dinner Roll
WG Pizza Dough
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 11 - Snack
Day 12 - Snack
Day 13 - Snack
Day 14 - Snack
Day 15 - 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: ______________________
Hard Boiled Egg
M/MA: ______________________
M/MA: ______________________
Cheese Cubes
M/MA: ______________________
M/MA: ______________________
Hummus
100% Apple Juice
Apple Slices
F:
______________________
F:
______________________
F:
______________________
F:
______________________
F:
______________________
Avocado Slices
Raw Veggie Sticks
V:
______________________
V:
______________________
V:
______________________
V:
______________________
V:
______________________
Crackers
Soft Pretzel
WG Tortilla Shell
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
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal