• Application for Free and Reduced-Price Meals

    School year 2024-2025

  • Please complete one application per household.

    This institution is an equal opportunity provider.

    California Education Code Section 49557(a):  Apllication for free and reduced-price meals may be submitted at any time during a school day.  Children participating in the federal National School Lunch Program will not be overtly identified by the use of special tokens, special tickets, special serving lines, separate enrrance, separate dining areas, or by any other means

  • STEP 1 - STUDENT INFORMATION

    *Children in Foster Care and children who meet the definition of Homeless, Migrant, or Runaway are eligible for free meals

  • Enter the name of EACH STUDENT and answer the questions that follow about that student.

  • Student 1

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  • Student 2

  • *If not applicable leave blank, scroll to the bottom of page and click 'Next'

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  • Student 3

    If not applicable leave blank and scroll to Step 2
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  • Student 4

    If not applicable leave blank and scroll to Step 2
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  • STEP 2- Assistance Programs: CalFresh, CalWORKS, or FDPIR

  • * if you selected any of the boxes above you will automatically be skipped to step 4.  Step 3 does not apply to you. 

  • STEP 3 - REPORT INCOME FOR ALL HOUSEHOLD MEMBERS

  • STUDENT INCOME: Sometimes students in the household earn income.

     

  • ALL OTHER HOUSEHOLD MEMBERS (Including yourself): List ALL household members not listed in STEP 1, even if they do not receive income. For each hosehold member, report the TOTAL GROSS income (before Deductions) in whole dollars for each source. If the household member does not recieve income from any sources, enter a "0".  If you enter a "0" or leave any fields blank, you are certifying (promising) that there is no income to report. 

  • OPTIONAL - CHILDREN'S ETHNIC AND RACIAL IDENTITIES

    We are required to ask for information about your children's race and ethnicity. This information is important and helps to make sure we are fully serving our community. Responding to this section is optional and does not affect your children's eligibility for free or reduced-price meals.

  • STEP 4 - CONTACT INFORMATION & ADULT SIGNATURE

  • Certification: I certify (promise) that all information on this application is true and that all income is reported.  I understand that this information if given in connection with the receipt of federal funds, and that school officials may berify (check) the information.  I am aware that if I purposely give false information, my children may lose meal benefits, and I may be prosecuted under applicable stare and federal laws. 

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