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  • Before you begin…there are a few things you should know.

  • If you received a letter from the school district saying that your student(s) were automatically approved (directly certified) for free meals for the 2024–2025 school year because someone in your household participates in Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), or Food Distribution Program on Indian Reservations (FDPIR) then you do not need to submit an application.

    We need only one application for all the students in your household that attend school in The Edmonds School District.

    Eligibility for free or reduced price school meal benefits is based on any one of these three things:

    • your total household income and size in the month the application is filled out, or the month before, or
    • your student’s individual status is foster child, experiencing homelessness, migrant or runaway, or
    • participation in an assistance program by any member of your household

    Your US citizenship or immigration status does not affect your eligibility for free and reduced price benefits.

    If you have questions at any point during the application,

    Email: fnsoffice@edmonds.wednet.edu or Call: (425) 431 - 7078 

    Business hours: M - F 8am to 4pm

    • Lastly, we compiled a list of the information you might need to complete the application. Check it out! 

    • If you have this information handy, it will make the application process fast and easy.

      If you participate in SNAP, TANF , or FDPIR you will need to know your case number (not your card or account number).

      If you do not participate in any of the above assistance programs, you will need to report your total household income. In that case…

      • if anyone in your household has a job, you may need to reference the earnings statements or pay stubs to report your gross income, which is different from the amount you actually receive in your paycheck.
      • if anyone receives Social Security or retirement benefits, you may need to gather the benefit statements to report the amount and frequency of the payments.
      • you may also need to reference other financial documents for additional sources of income.

      Still not sure if you have everything you need? Don’t worry! The income section of the application contains detailed instructions and explanations about the sources of income you must include, and you can gather additional information then.

  • 2024-2025 Annual Child Nutrition Eligibility & Education Benefit Application

    EDMONDS SCHOOL DISTRICT #15

  • STUDENT MEMBERS

  • List all students living with you that are attending school in the Edmonds School District.

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  • ASSISTANCE PROGRAMS

  • Do any Household Members (including yourself) currently participate in one or more of the following assistance programs?

  • HOUSEHOLD MEMBERS & INCOME

  • STEP 3: List the names of all other household members (Excluding students listed in part 1) Enter income for each member (in whole dollars) and indicate as to how often income is received. If a household member does not receive income, write "0". If you enter "0" you are certifying there is no income to report.

  • Only Fill out Applicable Information Below, For Household Member Listed Above^

  • Total Number of Household Members & SSN

  • Signature & Contact Information

  • I certify (promise) that all information on this application is true, that all income is reported, and that my household does not receive Summer EBT benefits through a different State or Indian Tribal Organization (if applicable). I understand that this information is given in connection with the receipt of federal funds or state benefits and that school officials may verify (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 State and Federal laws.

  • Clear
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  • Optional Approval To Waive Fees / Dues For Other School Programs

  • Student's may be eligible for decreased fees to participate in other school programs. This is optional and submitting / not submitting will not affect your student's eligibility for free or reduced priced meals.

  • By checking the boxes above and signing below, you are authorizing the release of student names(s) and eligibility status only, no other information or demographics will be shared. I consent to have the Edmonds School District share my student's eligibility status for a reduction of fees / dues for the above checked school programs.

  • Clear
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  • Optional : Children's Racial and Ethnic Identities

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

  • The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give the information, but if you do not, we cannot approve your child for free or reduced- meals.Youmustincludethe last four digits of the social security number of the adult household member who signs the application. The last four digits of the social security number is not required price when you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (Basic Food), Temporary Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian identifier child for indicate social Reservations FDPIR the member (FDPIR)number or other or when that adult household signing application does not have a security We case the number. your you will use your information to determine if your child is eligible for free or reduced-price meals, and for administration and enforcement of the lunch and breakfast programs. We MAY share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for their programs, auditors for program reviews, and law enforcement officials to help them investigate violations of program rules. In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity. Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

    To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%2OP-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf,from any USDAoffice, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant's name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted 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; or fax: (833) 256-1665 or (202) 690-7442; or email:program.intake@usda.gov

    This institution is an equal opportunity provider. Edmonds School District does not discriminate in any program 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 employees have been designated to handle questions and complaints of alleged discrimination: Title IX Coordinator: Rob Baumgartner, Assistant Superintendent for Human Resources, Payroll, and Benefits, 20420 68th Avenue W., Lynnwood, WA 98036, 425-431-7020, baumgartnern@edmonds.wednet.ed Section 504 Coordinator: Dana Geaslen, Executive Director of Student Services, 20420 68th Avenue W., Lynnwood, WA 98036, 425-431-7047, wednet. edu Civil Rights Compliance and ADA Coordinator: Rob Baumgartner, Assistant Superintendent for Human Resources. Payroll, and Benefits, 20420 68th Avenue W., Lynnwood, WA 98036, 425-431-7023, baumgartnern@edmonds.wednet.edu School Board Policy 3210P

     

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