• Instructions for Applying for the Free and Reduced Meals Program

    For Supplemental Nutrition Assistance Program (SNAP) benefits OR Temporary Assistance for Needy Families (TANF) Households, do the following:

    Part 1: Complete Household information 
    Part 2:.List child(ren)’s name, school, grade, birthday and mark the checkbox, if they are a formally placed foster child in the family.
    Part 3: Give the name of the person in the household with benefits and their case number, Supplemental Nutrition Assistance Program (SNAP) benefits  (A11-11-1111) or TANF (AA111 or AAA111)
    Part 4: Skip this part. 
    Part 5: Sign the form. A Social Security Number is not necessary. 
    Part 6: Answer this question if you choose to. 
    Part 7: Answer this question if you choose to. 

    If you are applying for a FOSTER CHILD, follow these instructions: 
    Use a separate application for each foster child 

    Part 1: Complete Household information 
    Part 2: List the child’s name, school, grade, birthday and mark the checkbox, if they are formally placed foster child in the family.
    Part 3: Skip this part.
    Part 4: Skip this part. 
    Part 5: Sign the form. A Social Security Number is not necessary 
    Part 6: Answer this question if you choose to. 
    Part 7: Answer this question if you choose to. 
    OR      Complete a household application for the entire household including the foster child following instructions for “ All Other Households” 

    ALL OTHER HOUSEHOLDS, including WIC households, follow these instructions: 

    Part 1: Complete Household information. 
    Part 2: List child(ren)’s name, school, grade, and birthday and mark if child is foster.
    Part 3: Skip this part. 
    Part 4: Follow these instructions to report total household income from last month:

    Column 1– Name: List the first and last name of each person living in your household, related or not (such as grandparents, other relatives, or friends). You must include yourself, those children living with you but not attending school and children in school receiving regular income. Do not repeat children listed in part 2 unless they receive regular income. Attach another sheet of paper if you need to. 
    Column 2 – Gross Monthly Income. Next to each person’s name list each type of income received last month. For example, Monthly Income: List the gross income each person earned from work. This is not the same as take-home pay. Gross income is the amount earned before taxes and other deductions. The amount should be listed on your pay stub, or your boss can tell you. If your income is paid weekly, every 2 weeks or twice a month, follow the instructions on the back of the application. 
    Column 3 - List the amount each person got last month from welfare, child support, alimony
    Column 4 – List the amount each person got last month from pensions, retirement, Social Security; 
    Column 5 – List the amount each person got last month from Worker’s Compensation, unemployment, strike benefits, Supplemental Security Income (SSI), Veteran’s benefits (VA benefits), disability benefits, regular contributions from people who do not live in your household, and ANY OTHER INCOME.

    Report net income for self-owned business, farm, or rental income.  Next to the amount, write how often the person got it. If you are in the Military Housing Privatization Initiative do not include this housing allowance.

    Part 5: An adult household member must sign the form and list the last four (4) number of his or her Social Security Number, or mark the box if he or she doesn’t have one. 
    Part 6: Answer this question if you choose to. 
    Part 7: Answer this question if you choose to. 

    This institution is an equal opportunity provider.