Free & Reduced-Price Meal Application

  • 2023-2024 PRINTABLE APPLICATIONS

    Letter to Households - English

    Free & Reduced Application - English

    Spanish 2023-24 Free and Reduced Form.pdf

    Free & Reduced Applications - Multiple Languages 

    Family Income Survey for Crossroads & Open Doors  

    Consent to Share Eligibility Form - English l Spanish

    Graphic                                                                                                                                                                                                                                      

    USDA Non-Discrimination Statement for Child Nutrition Programs

    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 Form AD-3027, USDA Program Discrimination Complaint Form(link is external), from any USDA office, 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:

    1. Mail:
      U.S. Department of Agriculture 
      Office of the Assistant Secretary for Civil Rights 
      1400 Independence Avenue, SW 
      Washington, D.C. 20250-9410; or
    2. Fax:833-256-1665 or 202-690-7442; or
    3. Email: USDA Program Intake(link is external)

    This institution is an equal opportunity provider.

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