Sample Food Menu Template

LUNCH/DINNER MENU TEMPLATE NYC DEPARTMENT FOR THE AGING
BUREAU OF SENIOR CENTERS
NUTRITION SERVICE
Senior Center Name: Borough:
Menu Cycle Week:
*Also req uired are the followin g: high source of Vitamin C on a d aily basis and a high source of Vitamin A three (3) times per week.
Senior Center Director:
Date Prepared:
DFTA Nutritionist:
Date Approved:
MENU ITEMS
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Appetizer
Optional
Entrée
Required: 3 o z (cooked) protein
or equivalent
Grains
Required: 1-2 servings
Vegetables
Required: 1-2 servings
Fruit & Fruit Juice
Required: 1-2 servings
Milk & Yogurt
Required: 1 serving
Dessert
Optional
Condiments
Optional: Ex. Oil, Trans Fat Free
Margarine, butter or mayonnaise
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Sample Food Menu Template PDF

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