Skip to content
Register for The Biome School's STEM Spectacular Gala!
Menu
ABOUT
HISTORY
THE BIOME DIFFERENCE
VALUES
STAFF & LEADERSHIP
EMPLOYMENT
EMPLOYMENT AT THE BIOME
CURRENT OPPORTUNITIES
LETTER OF INTEREST
PUBLIC DISCLOSURES
LEARNING
ACADEMIC PROGRAMS
PRIMARY PROGRAM
INTERMEDIATE PROGRAM
MICRO SCHOOLS
SPECIALTY CLASSES
MOCAP
ENROLLMENT
ENROLLMENT
ENROLLMENT FORM
TOUR
FAQ
FAMILY RESOURCES
BACK TO SCHOOL
CALENDAR
LITERACY RESOURCES
FORMS & LINKS
LEARNER SAFETY
FACILITIES
EXTENDED DAY
BEFORE CARE APPLICATION
UNIFORM SHOP
MEALS
FARL APPLICATION
SUPPORT
GIVING
DONATE ONLINE
PRESS/PUBLICATIONS
NEWS
CONTACT
Inquire
Visit
Apply
Search for:
Loading...
MEALS
FARL APPLICATION
Bill Kent
2024-07-18T21:16:33+00:00
Home
MEALS
FARL APPLICATION
2024-2025 Application for Free and Reduced Price School Meals
Step
1
of
5
20%
STEP 1 - List ALL children, infants, and students up to and including grade 12.
List ALL children in the household. Do not forget to list infants, children attending other schools, children not in school, and children not applying for benefits. This includes children not related to you in your household. Children in Foster Care and children who meet the definition of Homeless, Migrant or Runaway are eligible for free meals.
Child 1
(Required)
First Name
Middle Initial
Last Name
Building Name
Grade
Not in School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Status
Foster Care
Homeless/Migrant/Runaway
Child 2
First Name
Middle Initial
Last Name
Building Name
Grade
Not in School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Status
Foster Care
Homeless/Migrant/Runaway
Child 3
First Name
Middle Initial
Last Name
Building Name
Grade
Not in School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Status
Foster Care
Homeless/Migrant/Runaway
Child 4
First Name
Middle Initial
Last Name
Building Name
Grade
Not in School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Status
Foster Care
Homeless/Migrant/Runaway
Child 5
First Name
Middle Initial
Last Name
Building Name
Grade
Not in School
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Status
Foster Care
Homeless/Migrant/Runaway
STEP 2 - Do any household members (including you) participate in: SNAP, TANF, or FDPIR?
STEP 2 CHOICES
(Required)
NO: Go to STEP 3
YES: Enter Case Number and Proceed to STEP 4
CASE NUMBER (NOT EBT NUMBER)
0 of 10 max characters
Write only one case number in this space.
STEP 3 - List ALL household members and income for each member (before taxes and deductions)
List ALL household members and income for each member (before taxes and deductions)
List all Adult Household Members not listed in STEP 1 (including yourself) even if they do not receive income. For each Household Member listed, if they receive income, report total gross income (before taxes and deductions) for each source in whole dollars (no cents) only. If they do not receive income from any source, write ‘0’. If you enter ‘0’ or leave any fields blank, you are certifying (promising) that there is not income to report.
Adult 1
(Required)
First Name
Last Name
Earnings from Work
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Annual
Public Assistance / Child Support / Alimony
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Pensions, Retirement, Social Security, SSI, VA Benefits, All Other Income
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Adult 2
First Name
Last Name
Earnings from Work
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Annual
Public Assistance / Child Support / Alimony
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Pensions, Retirement, Social Security, SSI, VA Benefits, All Other Income
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Adult 3
First Name
Last Name
Earnings from Work
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Annual
Public Assistance / Child Support / Alimony
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Pensions, Retirement, Social Security, SSI, VA Benefits, All Other Income
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Total Household Members (Children & Adults)
(Required)
Last four numbers of Social Security Number (SSN) of primary wage earner or other adult household member (If Applicable):
Check if no Social Security Number
Sometimes children in the household earn or receive income. Include the TOTAL income (before taxes and deductions) received by ALL children listed in STEP 1 here.
Child Income
How often?
Weekly
Bi-Weekly
2x Month
Monthly
Annual
STEP 4 - Contact information and adult signature
“I certify (promise) that all information on this application is true and that all income is reported. I understand that this information is given in connection with the receipt of Federal funds, and that school officials may verify (confirm) 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.”
Print Name of Adult Signing the Form
(Required)
Signature
(Required)
Reset to re-sign.
Date
(Required)
MM slash DD slash YYYY
Mailing Address (if available)
Street Address
City
State / Province / Region
ZIP / Postal Code
Daytime Phone
Email
OPTIONAL - Children’s ethnic and racial identities. This information is kept confidential and may be protected by the Privacy Act of 1974.
We are required to ask for information about your children’s race and ethnicity. This information is important and helps to make sure we are fully serving our community. Responding to this section is optional and does not affect your children’s eligibility for free or reduced price meals.
Ethnicity (check one):
Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish Culture or origin, regardless of race)
Not Hispanic or Latino
Race (check one or more):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Page load link
Go to Top
Notifications