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FCS Breakfast and Lunch Program
Come and get it!!!!
Meal Prices
Breakfast Lunch
Students: $1.25 Grades K-2 $1.60 Grades 3-12 $1.80
Adults $1.55 $2.50
Free & $ .30 $ .40
Reduced
Meal Prices
Milk $ .40 $ .40
A computerized, debit card system is used for the accounting of breakfasts and lunches. Each student will have an identification card with a bar code. (Lost or damaged cards must be replaced for $1.00.) Breakfast/Lunch money may be placed in a student’s account in advance. In the event that funds are no longer available, notification will be sent home with the student.
You child(ren) may qualify for free meals or for reduced price meals.
*If interested in applying please take time to read the following three pages of information.
FREE AND REDUCED LUNCH
QUESTIONS AND ANSWERS
We cannot approve an application that is not complete, so be sure to fill out all required information. Return the completed application to your child’s school.
If you have other questions or need help, please call the Fremont Elementary, Middle or High School office.
INSTRUCTIONS for APPLYING
Households getting TANF or Food Stamps:
1. In Part 1, list each enrolled child and include the TANF or Food Stamp Case Number for each child. EBT and Hoosier Healthwise numbers DO NOT qualify you for benefits.
Migrant, Homeless, or Runaway: Check the appropriate box and contact the school’s homeless liaison or migrant coordinator.
Foster Child: Use a separate application for each foster child.
All Other Household Types: Including WIC households
INCOME TO REPORT:
Earnings from Work
Wages/salaries/tips
Strike benefits
Unemployment compensation
Workman’s compensation
Net income from self-owned business or farm
Welfare/Child Support/Alimony
Public assistance payments
Welfare payments
Alimony payments
Child support payments
Pensions/Retirement/Social Security
Pensions
Retirement income
Social Security
Veteran payments
Supplemental Social Security Income
Other Income
Earnings from second job
Disability benefits
Interest/Dividends
Cash withdrawn from savings
Income from Estates/Trusts/Investments
Regular contributions from persons not living in the household
Royalties/Annuities/Rental Income
Any other monies that may be available to pay for the child’s meals
Applications are provided to all students at the beginning of the school year. If you need another please stop in your child’s school office.
Your children may qualify for free or reduced |
|
FEDERAL INCOME CHART |
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Household Size |
Yearly |
Monthly |
BiWeekly |
Weekly |
|
1 |
$20,036 |
$1,670 |
771 |
$ 386 |
|
2 |
26,955 |
2,247 |
1,037 |
519 |
|
3 |
33,874 |
2,823 |
1,303 |
652 |
|
4 |
40,793 |
3,400 |
1,569 |
785 |
|
5 |
47,712 |
3,976 |
1,836 |
918 |
|
6 |
54,631 |
4,553 |
2,102 |
1,051 |
|
7 |
61,550 |
5,130 |
2,368 |
1,184 |
|
8 |
68,469 |
5,706 |
2,634 |
1,317 |
|
For each additional person: |
+ 6,919 |
+ 577 |
+ 267 |
+ 134 |
|
OTHER BENEFITS: Put a checkmark (√) where you want the information released. By signing this section you will allow the school to release information that shows you have applied for free or reduced price benefits under the National School Lunch Program. The information will only be used for the programs you have marked on the application.
Textbook Assistance
– In 1999 the passage of Indiana House Enrolled Act 1001, includes assistance for children approved for free or reduced price meals. You must answer this question and sign, in order to receive textbook assistance. You are not required to answer this question to receive meal benefits.
PLEASE NOTE: For Textbook Assistance, these are specific things that you must complete in addition to the required items for meal benefits.
1) Living with parent/caretaker relative,
(The definition of a caretaker relative is a relative, either by blood or by law, who lives with the child and exercises parental responsibility [care and control] in the absence of the child’s parent. Examples include, but are not limited to: Grandparents, Aunts, Uncles, Cousins, Step-Parents, and Adult Siblings.)
2) grade, and
3) check if you are applying for textbook assistance and sign under Other Benefits.
Your application must contain 2 signatures for meals and textbooks.
Twenty-first Century Scholars
– If your child is a U.S. citizen and currently in grades 6-8, ask your school for information on how to apply for Indiana’s Twenty-first Century Scholars program – an early promise program to help prepare and pay for college.
Hoosier Healthwise
– Your child(ren) may qualify for free or low-cost health insurance under Medicaid or Hoosier Healthwise. If you DO WANT this information released for the purpose of Hoosier Healthwise, please sign. For more information about Hoosier Healthwise health insurance, call 1-800-889-9949.