If your child(ren) qualifies for free or reduced price meals, you may also be eligible for other benefits. One of these benefits is school fees.  If you sign this waiver, your child(ren) will be considered for a full or partial waiver of school fees.  I understand that I will be releasing information that will show that I applied for free and reduced price school meals for my child(ren). I give up my rights to confidentiality for waiver of school fees ONLY.

I certify that I am the parent/guardian of the child(ren) for whom the application is being made.

 

Signature of Parent/Guardian __________________________________________            Date _________________

 

 ________ Approved         _________ Denied           _________________________Date _________________

                                                                                                        (school official) 

 

YOU DO NOT HAVE TO COMPLETE THIS WAIVER TO GET FREE OR REDUCED PRICE SCHOOL MEALS.

 

 Name of Student ___________________________________                      Grade in School _________________     

Name of Student ___________________________________                      Grade in School _________________

Name of Student ___________________________________                      Grade in School _________________

Name of Student ___________________________________                      Grade in School _________________

Name of Student ___________________________________                      Grade in School _________________

Name of Student ___________________________________                      Grade in School _________________

 

Please check type of waiver desired:      

____________ Full Waiver         _________ Partial Waiver           __________ Temporary Waiver

 

Please check if student or the student’s family meets the financial eligibility criteria or is involved in one of the following programs:

 

 Full Waiver    

________          Free meals offered under the Child Nutrition Program

________          The Family Investment Program (FIP)

________          Supplemental Security Income (SSI)

________          Foster Care

 

Partial Waiver

________          Reduced Price Meals offered under the Child Nutrition Program

 

Temporary Waiver

________          If none of the above apply, but you wish to apply for temporary waiver of school fees because of serious financial problems, please state the reason for the request:____________________________________________________________________________________

________________________________________________________________________________________________________     

 

Approved  9/23/11     Reviewed   8/18/2021             Revised            

The board recognizes that while certain fees charged students are appropriate and authorized, certain students and their families are not financially able to pay the fees.  The school district will grant either full waivers, partial waivers or temporary waivers depending upon the circumstances and the student or student's parents' ability to meet the financial criteria.

    A.    Waivers -

        1.    Full Waivers - a student will be granted a full waiver of fees charged by the school district if the

            student or student's parents meet the financial eligibility criteria for free meals under the Child

            Nutrition program, Family Investment Program, Supplemental Security Income guidelines, or

            transportation assistance under open enrollment.  Students in foster care are also eligible for full

            waivers.

        2.    Partial Waivers - a student will be granted a partial waiver of fees charged by the school district if

            the student or the student's parents meet the financial eligibility criteria for reduced price meals

            offered under the Child Nutrition program.  A partial waiver shall be 40 percent.

         3.    Temporary Waivers - a student may be eligible for a temporary waiver of fees charged by the

            district in the event the student's parents are facing financial difficulty.  Temporary waivers may be

            applied for at any time throughout the school year and shall not extend beyond the end of the

            school year. 

     B.    Application - Parents or students eligible for a fee waiver shall make an application on the form provided by

        the school district.  Applications may be made at any time but must be renewed annually. 

      C.    Confidentiality - The school district will treat the application and application process as any other student

        record and student confidentiality and access provisions will be followed.  

     D.    Appeals - Denials of a waiver may be appealed to the Supt. of Schools, the board of Education and the

        Dept. of Education.. 

    E.    Fines or charges assessed for damage or loss to school property are not fees and will not be waived.

     F.    Notice - the school district will annually notify parents and students of the waiver.  The following information will be included in registration

        materials and printed in the student handbook.

Students whose families meet the income guidelines for free and reduced price lunch, the Family Investment Program (FIP), Supplemental Security Income (SSI), transportation assistance under open enrollment, or who are in foster care are eligible to have their student fees waived or partially waived.  Students whose families are experiencing a temporary financial difficulty may be eligible for a temporary waiver of student fees.  Parents or students who believe they may qualify for temporary financial hardship should contact the Business Manager for a waiver form.  This waiver does not carry over from year to year and must be completed annually.

 

Approved 9/23/11     Reviewed   1/18/17             Revised