Ellsworth Community School District
and St. Francis School
Free and Reduced Price Meals
The Ellsworth Community Schools and St. Francis School today announce its policy for children unable to pay the full price of meals served under the National School Lunch Program and School Breakfast Program. Each school office and the central office has a copy of the policy, which may be reviewed by any interested party.
The following household size and income criteria will be used for determining eligibility. Children from families whose annual income is at or below the levels shown may be eligible for free and reduced price meals.
FAMILY SIZE INCOME SCALE
For Determining Eligibility for Free and Reduced Price Meals or Milk
ANNUAL INCOME LEVEL MONTHLY INCOME LEVEL
Free Reduced Price Free Reduced Price
Family (household) Must be at or below Must be at or between Must be at or below Must be at or between Size figure listed figures listed figure listed figures listed
1 $14,079 $14,079.01 and $20,036 $1,174 $1,174.01 and $1670
2 18,941 18,941.01 and 26,955 1,579 1,579.01 and 2247
3 23,803 23,803.01 and 33,874 1,984 1,984.01 and 2823
4 28,665 28,665.01 and 40,793 2,389 2,389.01 and 3400
5 33,527 33,527.01 and 47,712 2,794 2,794.01 and 3976
6 38,389 38,389.01 and 54,631 3,200 3,200.01 and 4553
7 43,251 43,251.01 and 61,550 3,605 3,605.01 and 5130
8 48,113 48,113.01 and 68,469 4,010 4,010.01 and 5706
For each additional
household members, add +4,862 + 4,862 and 6,919 + 406 +406 and +577
Application forms are being sent to all homes with a notice to parents or guardians. To apply for free or reduced price meals, households must fill out the application and return it to the school. Additional copies are available at the principal's office in each school. The information provided on the application will be used for the purpose of determining eligibility and may be verified at any lime during the school year by school or other program officials. Applications may be submitted at any time during the year.
To obtain free or reduced price meals for children for whom households receive Food Share, FDPIR or Wisconsin Works (W-2) cash benefits, an adult member needs only to list the names of the school children, give Food Share, FDPIR or W-2 case number for each child, sign his/her name and return the application to the school office.
For the school officials to determine eligibility for free or reduced price meals of households not receiving Food Share, FDPIR or W-2, the household must provide the following information requested on the application: names of all household members, and the social security number of the adult household member who signs the application. In lieu of a social security number, the household may indicate the signer does not possess a social security number. Also, the income received by each household member must be provided by amount and source (wages, welfare, child support, etc.).
Under the provisions of the free and reduced price meal and free milk policy, Ellsworth Schools/Sharlene Kreye - St. Francis School/Joanne McCoy, principal will review applications and determine eligibility. If a parent or guardian is dissatisfied with the ruling of the official, he/she may wish to discuss the decision with the determining official on an informational basis. If the parent/guardian wishes to make a formal appeal, he/she may make a request either orally or in writing:
Ellsworth School St. Francis School
Supt. Barry Cain Father Tom Donaldson
P.O. Box 1500 P. 0. Box 839
Ellsworth, WI 54011 Ellsworth, WI 54011
If a hearing is needed to appeal the decision, the policy contains an outline of the hearing procedure.
If a household member becomes unemployed or if the household size changes, the family should contact the school. Such changes may make the household eligible for reduced price meals, or free meals if the household income falls at or below the levels shown above, and they may reapply at that time.
In certain cases foster children are also eligible for these benefits. If a household has foster children living with them and wishes to apply for free or reduced price meals, the household should complete an application for a family of one or contact the school for more information.
The information provided by the household on the application is confidential. Public Law 103-448 does authorize the release of student free and reduced price school meal eligibility status to persons directly connected with the administration and enforcement of federal or state educational programs.
In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis or race, color, national origin, sex, age, or disability. To file a complaint of discriminator write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW Washington, DC 20250-9410 or call (800) 720-6382 (TTY). USDA is an equal opportunity provider and employer.
Any questions regarding the application should be directed to the determining official.
Published August 26, 2009 34 1C