CSFP Ethnic/Racial Data

If you do not see your program listed in the dropdown menu it is likely because you have selected the wrong County. Please use the back button located at the bottom of the page and select the correct County.
Name of Program (Fairfield)*
Name of Program (Hartford)*
Name of Program (Litchfield)*
Name of Program (Middlesex)*
Name of Program (New Haven)*
Name of Program (New London)*
Name of Program (Tolland)*
Name of Program (Windham)*
Name of Person Submitting this information*

First NameLast Name
Email of Person Submitting this information*
a confirmation email will be sent to this email address

Report for each racial group the number of participants who received program commodities in April. For purposes of this form, "Hispanic or Latino" is an ethnic group, not a race. In Column A . report the total number of participants by race, including individuals of Hispanic or Latino origin. In column B, report only participants of Hispanic or Latino oricin by race. The form is requesting separate counts for participants who chose only one race and those who chose more than one race.

Participants who marked ONLY ONE RACE (A number must be placed in every field. Enter "0" if needed.)*

	COLUMN A: Total Number of Participants by Race	COLUMN B: Number of Hispanic or Latino Participants Reported in
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White

Participants who marked TWO RACES (A number must be placed in every field. Enter "0" if needed.)*

	COLUMN A: Total Number of Participants by Race	COLUMN B: Number of Hispanic or Latino Participants Reported in
American Indian or Alaska Native and White
Asian and White
Black or African American and White
American Indian or Alaska Native and Black or African American