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866-221-5070

3047 Highway 51 MM, McComb, MS 39648

Apply Now

Home
About Us
Apply
Links
Food Pantry
Careers
Contact

Apply Now

Apply Online

Download and fill out these forms to take part in our mission in reducing hunger and malnutrition.

Recruitment Form

Requirement Sheet

Apply Online

First Name

Last Name

Phone

Name of Business

Business Address

County

License Capacity

Current Capacity

Have you ever participated in the CACFP program?

Yes

Holidays dates that the day care is closed

Hours of Operation

Days of the Week

Monday

Tuesday

Wednesday

Thursday

Friday

Meals Provided

Breakfast

Lunch

PM Snack

Meal service time(s) (meals must not be served outside of meal service times)

Free Text

Age Range of Participants

Youngest

Oldest

Do you provide child-care for infants under 12 months old?

Yes

Free Text

Additional documentation needed for approval must be provided to the sponsor upon enrollment.

Daycare License
Priviledge License
Food Permit
Student Lunch Forms (Sponsor Provides)
Site Agreement (Sponsor Provides)

Upload Documentation Below

Upload File

Free Text

You can also fax documentation to 866-593-7454 or email to ejordan@jordanrivers.org

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Got Questions? We've Got Answers!

Whether you're curious about the process or need clarification, we're here to help. Contact us with your questions today!

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Email:

Phone:

Message:

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601-341-0618

3047 Highway 51 MM, McComb, MS 39648

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