Minor Students with FREE and REDUCED SCHOOL LUNCH
Please share
Student Name
*
First Name
Middle Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
Student School Name
*
Student Grade Level
Please Select
Pre-Kindergardens
Kindergardens
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student School ID Number
What Government Benefit does the student received?
*
Please Select
School FREE and REDUCED Lunch
Parent/Guardian Name
*
First Name
Middle Name
Last Name
Address
Street Address
Apt. Number
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Parent/Guardian Date of Birth
*
-
Month
-
Day
Year
Date
Parent Social ( Last 4 # only)
*
Press 0000 if you are not able to provide last 4 # of social. You must upload an unexpired password or ID photo.
Child Homeroom Teacher Name
Parent/Guardian Email
example@example.com
Enrollment Agent # ( Leave it Blank if You Do Not See Agent Name on Postcard)
Leave Blank If You Do Not Have An Agent
Do you want to work with us as an enrollment agent?
*
Please Select
Yes
No
Parent please upload an ID or Passport photo.
Parent Upload Your Photo ID
If your child is Not a "Miami Dade County Public Schools Student" Please upload his/her School Lunch Award Letter Below.
Upload Student School Lunch Award Letter
Upload Student School Lunch Award Letter
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: