HARTLAND
CONSOLIDATED SCHOOLS
Dear Parent/Guardian:
Children need healthy meals to learn. Hartland
Consolidated School(s) offers healthy meals every school day. Students may buy
lunch for $2.00 elementary, $2.25 to $3.25 Secondary and breakfast (High School
& Farms only) for $1.50. Your
children may qualify for free meals or for reduced price meals. We sell reduced price lunches for $.40 and
breakfasts for $ .30. If a doctor has
determined that your child has a disability, and the disability would prevent
the child from eating the regular school meal, the school will make any substitutions prescribed by a
licensed physician at no extra charge. The physician’s statement,
including prescribed diet and/or substitution, must be submitted to the food
service department at your school. For
further information, please call Terri Sincock at (810) 626-2867.
1. Do I need to
fill out an application for each child? No.
Complete the application to apply for free and reduced price school meals. Use
one Free and Reduced Price School Meals Family Application for all students
in your household. We cannot approve an application that is not complete, so be
sure to fill out all required information. Return the completed application to:
Your child’s school office or Terri Sincock,
2. Who can get
free meals? Children in households
getting Food Assistance Program (FAP), Family Independence Program (FIP), or
Food Distribution Program on Indian Reservations (FDPIR) and most foster
children can get free meals regardless of your income. Also, your children can get free meals if
your household income is within the free limits on the Federal Income
Guidelines.
3. Can
homeless, runaway, and migrant children get free meals? Please call Mary Day at 810-626-2239, homeless liaison
or migrant coordinator, to see if your child(ren) qualify, if you have not been
informed that they will get free meals.
4. Who can get
reduced price meals? Your children
can get low cost meals if your household income is within the reduced price
limits on the Federal Income Chart, shown on page two of this letter.
5. Should I
fill out an application if I got a letter this school year saying my children
are approved for free or reduced price meals? Please read the letter you got carefully and follow
any instructions if provided. Call the school at (810) 626-2867 if you have
questions.
6. My Child’s
application was approved last year. Do I
need to fill out another one? Yes. Your child’s application is only good for
that school year and the first few days of this school year. You must send in a new application unless the
school told you that your child is eligible for the new school year.
7. I get WIC.
Can my child(ren) get free meals? Children
in households participating in WIC may be eligible for free or reduced price
meals. An application must be filled out by WIC households.
8. Will the
information I give be checked? Yes,
we may ask you to send written proof of any information provided on the
application.
9. If I don’t
qualify now, may I apply later? Yes.
You may apply at any time during the school year if your household size goes
up, income goes down, or if you start getting FAP, FIP, FDPIR or other benefits. If you lose your job, your children may be
able to get free or reduced price meals.
10. What if I
disagree with the school’s decision about my application? You should talk to school officials. You also may ask
for a hearing by calling or writing to: Scott Bacon, Asst. Superintendent for
Business & Operations, 9525 E.
Highland Road, Howell, MI 48843, or
calling (810) 626-2100.
11. May I apply if someone in my household is not a
12. Who should I include as members of my household? You must include all people living in your household,
related or not (such as grandparents, other relative, or friends), including
yourself and all children who live with you.
13. What if my income is not always the same? List the amount that you normally get. For example, if
you normally get $1000 each month, but you missed some work last month and only
got $900, put down that you get $1000 per month. If you normally get overtime,
include it, but not if you get it only sometimes.
14. We are in the military, do we include our housing
allowance as income? If you’re
housing is part of Military Housing Privatization Initiative, do not include
your housing allowance as income. All other allowances must be included in your
gross income.
15.
What if my
child does not have health insurance? Your children may qualify for low cost or
free health insurance through MIChild
and Healthy Kids
Program. To Apply On-Line, go to www.michigan.gov/michild or call 1-888-988-6300 for help or to request
a paper application.
16.
My spouse is deployed to a combat zone. Is her combat pay counted as income? No,
if the combat pay is received in addition to
Basic pay because of her deployment and it wasn’t
received before she was deployed; combat pay is not counted as income. Contact your school for more information.
17. My family needs more help. Are there other programs we might apply
for? To find out how to apply for Supplemental Nutrition Assistance
Program (SNAP) or other assistance
benefits, contact your local assistance office or call 1-800-481-4989.
Sincerely,
Terri Sincock
Food Service Director
Hartland Consolidated Schools
Application Instructions:
If you are applying for a FOSTER CHILD, follow these instructions:
Part 1: Check the box and list the child’s
personal use monthly income, if
any.
Part 2: Skip this part.
Part 3: Skip this part.
Part 4: Use a
separate application for each foster child.
List the child’s name, school, and grade. Do not list other household members. A foster child is considered a household of
one.
Part 5: Skip this part.
Part 6: Sign and date the form. A social security number is not necessary.
Part 7: Answer this question if you choose to.
Part 8: Answer this question if you choose to.
[If you are applying for a homeless, migrant, or runaway child check the
appropriate box and contact your Homeless Liaison or Migrant Coordinator.] Fill out application by following instructions
for ALL OTHER HOUSEHOLDS.
If anyone in your household receives Food Assistance Program (FAP), Family
Part 1: Skip this part.
Part 2: Skip this part.
Part 3: Answer the question by circling either YES or
NO. If you circle YES, you must list a
case number in the space provided for the specific program.
Part 4: Fill out with only the student’s names, grades
and schools in your household. Filling
in non-student names is not necessary.
Part 5: Skip this part.
Part 6: Sign and date the form. A social security number is not necessary.
ALL OTHER HOUSEHOLDS, including WIC
households, follow these instructions:
Part 1: Skip this part.
Part 2: Check the appropriate box, if any.
Part 3: Skip this part if it was not applicable to
your household.
Part 4: Follow these instructions to report all household members:
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 and
all children living with you. Be sure
to include all students. Attach
another sheet of paper if needed.
Column 2 – Grade: Fill in
the grade of each student in your household.
Column 3 – School Name: Fill in the school name
each student in your household is attending.
Part
5: Gross Income: Use this section to report all income in your
household from the previous month:
For all
household members (including students, young children, grandparents, relatives,
etc) that are not receiving any income, circle
the $0 indicating NO income for that person.
o
Next to each person’s first and last name list each
type of income received last month. Next
to the amount circle how often the person got it (weekly,
every 2 weeks, twice a month, or monthly).
o
Earnings
from work: 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.
Net income should ONLY be reported for self-owned
business, farm, or rental income.
o
All
other income: List the amount each person got last month from
welfare, child support, and alimony in the next column. List the amount each person got last month
from pensions, retirement, and Social Security in the respective column. List All Other Income sources in the last
column. All Other Income includes 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.
Part 6: An adult household member must sign and date
the form, and list a social security number
or check the box “I do not have a social
security number.”
Part 7: Skip this part.
Part 8: Answer this question if you choose to.