2025-2026 Application for Educational Benefits
Free & Reduced Price School Meals
Parent Name
*
First Name
Last Name
Parent Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Back
Next
Number of Household Members who are infants, children, and students up to and including grade 12.
*
Please Select
1
2
3
4
5
6
7
8
9
Child 1
*
First Name
Middle Name
Last Name
What school does Child 1 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 1
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 1
*
/
Month
/
Day
Year
Date
Is Child 1 a foster child?
*
Yes
No
Child 2
*
First Name
Middle Name
Last Name
What school does Child 2 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 2
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 2
*
/
Month
/
Day
Year
Date
Is Child 2 a foster child?
*
Yes
No
Child 3
*
First Name
Middle Name
Last Name
What school does Child 3 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 3
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 3
*
/
Month
/
Day
Year
Date
Is Child 3 a foster child?
*
Yes
No
Child 4
*
First Name
Middle Name
Last Name
What school does Child 4 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 4
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 4
*
/
Month
/
Day
Year
Date
Is Child 4 a foster child?
*
Yes
No
Child 5
*
First Name
Middle Name
Last Name
What school does Child 5 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 5
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 5
*
/
Month
/
Day
Year
Date
Is Child 5 a foster child?
*
Yes
No
Child 6
*
First Name
Middle Name
Last Name
What school does Child 6 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 6
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 6
*
/
Month
/
Day
Year
Date
Is Child 6 a foster child?
*
Yes
No
Child 7
*
First Name
Middle Name
Last Name
What school does Child 7 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 7?
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 7
*
/
Month
/
Day
Year
Date
Is Child 7 a foster child?
*
Yes
No
Child 8
*
First Name
Middle Name
Last Name
What school does Child 8 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 8
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 8
*
/
Month
/
Day
Year
Date
Is Child 8 a foster child?
*
Yes
No
Child 9
*
First Name
Middle Name
Last Name
What school does Child 9 attend?
*
Please Select
Not in School
Mesabi East Elementary
Mesabi East High School
School Readiness
Early Childhood
Grade Level of Child 9
*
Please Select
Not in School
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Date of Birth for Child 9
*
/
Month
/
Day
Year
Date
Is Child 9 a foster child?
*
Yes
No
Children's Ethnicity (optional)
Hispanic or Latino
Not Hispanic or Latino
Children's Race - check one or more (optional)
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Back
Next
Do Any Household Members (including you) currently participate in one or more of the following assistance programs: SNAP, MFIP or FDPIR? Medical assistance does not qualify.
*
Yes
No
Enter SNAP, MFIP or FDPIR Case Number (between 4-9 digits, do not report EBT card number)
*
Back
Next
Last Four Digits of Social Security Number (SSN) of an Adult Household Member:
*
xxx-xx-____
Total Number of All Household Members (Children + Adults)
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Child Income: Sometimes children in the household earn or receive income, such as from a part time job or SSI. Please include the TOTAL income received by all children in the household. Do not include income received by adults.
Total Income
$
Payment Frequency
Household Child Income
Weekly
Bi-Weekly
Twice Monthly
Monthly
Back
Next
How many adult members are in your household? Please include children who are temporarily away at school or in college.
*
Please Select
1
2
3
4
Adult 1
*
First Name
Last Name
Adult 1 Income Report: Please report income for Adult 1 (before deductions) from working jobs, self-employment, farming, and other income such as social security, SSI, unemployment, public assistance, child support
Total Income
$
Payment Frequency
Gross Income from Working Jobs
Weekly
Bi-Weekly
Twice Monthly
Monthly
Gross Income from Self-Employment
or Farming
Weekly
Bi-Weekly
Twice Monthly
Monthly
Any Other Gross Income
Weekly
Bi-Weekly
Twice Monthly
Monthly
Adult 2
*
First Name
Last Name
Adult 2 Income Report: Please report income for Adult 2 (before deductions) from working jobs, self-employment, farming, and other income such as social security, SSI, unemployment, public assistance, child support
Total Income
$
Payment Frequency
Gross Income from Working Jobs
Weekly
Bi-Weekly
Twice Monthly
Monthly
Gross Income from Self-Employment
or Farming
Weekly
Bi-Weekly
Twice Monthly
Monthly
Any Other Gross Income
Weekly
Bi-Weekly
Twice Monthly
Monthly
Adult 3
*
First Name
Last Name
Adult 3 Income Report: Please report income for Adult 2 (before deductions) from working jobs, self-employment, farming, and other income such as social security, SSI, unemployment, public assistance, child support
Total Income
$
Payment Frequency
Gross Income from Working Jobs
Weekly
Bi-Weekly
Twice Monthly
Monthly
Gross Income from Self-Employment
or Farming
Weekly
Bi-Weekly
Twice Monthly
Monthly
Any Other Gross Income
Weekly
Bi-Weekly
Twice Monthly
Monthly
Adult 4
*
First Name
Last Name
Adult 4 Income Report: Please report income for Adult 2 (before deductions) from working jobs, self-employment, farming, and other income such as social security, SSI, unemployment, public assistance, child support
Total Income
$
Payment Frequency
Gross Income from Working Jobs
Weekly
Bi-Weekly
Twice Monthly
Monthly
Gross Income from Self-Employment
or Farming
Weekly
Bi-Weekly
Twice Monthly
Monthly
Any Other Gross Income
Weekly
Bi-Weekly
Twice Monthly
Monthly
Back
Next
Signature
Name
First Name
Last Name
Submit
Should be Empty: