Application for Free Meals

Qualifications

  • If your total household income is the same or less than the amounts on the Income Eligibility Chart below, your child(ren) are eligible to receive free or reduced price meals.
  • If anyone in your household (other than a foster child) has a case number for: Basic Food, FDPIR, or TANF, all children will qualify for free meals. Please fill out an application and list the case number.
  • Foster children who are the legal responsibility of the Department of Social Services or court are eligible to receive free meals.
  • Children certified as homeless, runaway, or migrant are eligible to receive free meals. Please contact, our Homeless Liaison at 360-978-4111 option 1. 
USDA CHILD NUTRITION PROGRAM
INCOME GUIDELINES
July 1, 2016–June 30, 2017


Household Size
*
Annual
**
Monthly
***
Twice Per Month
****
Every Two Weeks
*****
Weekly
   1   
$21,978    
$1,832  
$ 916$ 846$ 423
2  29,637  2,470 1,235 1,140  570
3  37,296  3,108 1,554 1,435  718
4  44,955  3,747 1,874 1,730  865
5  52,614  4,385 2,193 2,0241,012
6  60,273  5,023 2,512 2,3191,160
7  67,951  5,663 2,832 2,6141,307
8  75,647  6,304 3,152 2,9101,455
For each additional member add$  +7,696$ +642 $ +321$ +296$ +148

* Annualize only for those with multiple income frequencies.
** Monthly income is multiplied by 12.
*** Twice monthly income is multiplied by 24.
**** Income received every two weeks is multiplied by 26.
***** Weekly income is multiplied by 52.

How To Apply

To apply for free or reduced priced meals for your child(ren), please complete the meal application below, to the attention of Mr. Jerry Carlson, and return to any school office or school food service worker.

Duration of Eligibility

Your child's(ren's) eligibility is in effect from the date of eligibility for the current school year and for up to 30 operating days in the subsequent school year.  However, this does not apply when the initial eligibility determination was incorrect or when verification of household eligibility does not support the level of benefits for which the household was approved. 

Reapplication 

You may apply for free and reduced price meals at any time during the school year.  If you are not eligible now but have a change such as: a decrease in household income, an increase in household size, become unemployed, or receive Basic Food or TANF for your children, you may fill out an application at that time.

Non-Discrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; fax: (202) 690-7442; or email:program.intake@usda.gov.
This institution is an equal opportunity provider.


The Onalaska School District does not discriminate in any programs or activities on the basis of sex, race, creed, religion, color, national origin, age, veteran or military status, sexual orientation, gender expression or identity, disability, or the use of a trained dog guide or service animal and provides equal access to the Boy Scouts and other designated youth groups.  The following employee(s) has been designated to handle questions and complaints of alleged discrimination: District IX Officer/504 Coordinator, Mr. Jeff Davis, 540 Carlisle Ave. Onalaska, WA  98570,  telephone (360)-978-4111, Option 5.

 














              
            HOUSEHOLD is defined as all persons, including parents,         
            children, grandparents, and all people related or unrelated
            who live in your home and share living expenses. If applying 
            for a household with a foster child, you may include the foster 
            child in the total household size.

            HOUSEHOLD INCOME is considered to be the income each
            household member received before taxes. This includes
            wages, social security, pension, unemployment, welfare, 
            child support, alimony, and any other cash income. If
            including a foster child as part of the household, you must 
            also include the foster child's personal income.  Do not
            report foster payments as income.
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Jerry Carlson,
Jul 5, 2016, 10:03 AM
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Jerry Carlson,
Jun 30, 2015, 1:01 PM
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Jerry Carlson,
Jul 5, 2016, 10:03 AM
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Jerry Carlson,
Jul 19, 2016, 9:54 AM
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Jerry Carlson,
Jul 5, 2016, 10:04 AM
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Jerry Carlson,
Jul 19, 2016, 9:53 AM
Ċ
Jerry Carlson,
Jul 8, 2014, 1:40 PM
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