FIELD TRIP SACK LUNCHES
School ___________________________________________________________ # Students _______________________________________________
Date Needed ___________________________________________________ # Adults _________________________________________________
Class ____________________________________________________________ TOTAL: __________________________________________________
Teacher ________________________________________________________
Pick-up Time __________________________________________________
The field trips sack lunches consist of the following:
Sandwich Sandwich Choices:
Fresh Fruit Ham & Cheese ____________________
Carrot Sticks Cheese ____________________________
Milk PB&J _______________________________ (not @ Elr or Hed)
Crackers Hummus & Roll ___________________
...........................................................................................................................................................................................................................................
- Orders for sack lunches should be turned into the Central Kitchen via EMAIL to chela.pease@sd5.k12.mt.us
- Please turn in your order 1-2 weeks before your field trip
- Lunch costs will be the same as a normal school day lunch. Free and Reduced students may use their accounts for these lunches as well as full paid students
- A list of the students receiving sack lunches should be turned into the Food Service Cashier at your school to be entered in the computer that day
- If you have any questions or concerns, please contact
* Orders - Chela Pease at 406-751-3400 x3537
* Menu or other questions - Christine Thelen 406-751-3400 x3646
Application Instructions - Free and Reduced-price School Meals
Please use these instructions to help you fill out the application for free or reduced-price school meals. You only need to submit one application per household if all of your school-aged children attend Kalispell Public Schools. The application must b e filled out completely to certify your children for free or reduced-price school meals. Please follow these instructions in order! Each step of the instructions is the same as the steps on your application. If at any time you are not sure what to do next, please contact Kalispell Public Schools, 406-751-3400 x3443 or email dee.cooper@sd5.k12.mt.us. Please use pen (not a pencil) to complete the application and print clearly.
STEP 1: List ALL CHILDREN in the Household.
Tell us how many infants, children, and school students live in your household. They do NOT have to be related to you to be a part of your household.
Who should I list here?
· Children age 18 or under (related or unrelated) that are supported with the household’s income;
· Children in your care under a foster arrangement, or who qualify as homeless, migrant, or runaway youth;
· Students attending [school/Kalispell Public Schools here], regardless of age.
o List each child’s name. For each child, print their first name, middle initial, and last name. Use one line of the application for each child. If there are more children present than lines on the application, attach a second piece of paper with all required information for the additional children.
o Is the child a student? If attending school, indicate the name of school and grade level for each child and mark ‘Yes’ or ‘No’ under the column titled “Student” to tell us which children attend [name of school/Kalispell Public Schools here].
o Are any children homeless, runaway, or migrant? If you believe any child listed in this section may meet this description, please mark the “Homeless, Migrant, Runaway” box next to the child’s name and complete all steps of the application.
o Do you have any foster children? If any children listed are foster children, mark the “Foster Child” box next to the child’s name. Foster children who live with you may count as members of your household and should be listed on your application. If you are only applying for foster children, after completing STEP 1, skip to STEP 4 of the application and STEP 4 of these instructions.
STEP 2: Participation in SNAP, TANF OR FDPIR?
If anyone in your household participates in any of the programs below, your children are eligible for free school meals:
· The Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps
· Temporary Assistance for Needy Families (TANF)
· Food Distribution Program on Indian Reservations (FDPIR)
o IF NO ONE IN YOUR HOUSEHOLD PARTICIPATES IN ANY OF THE ABOVE LISTED PROGRAMS:
· Mark NO in the box and skip to STEP 3 of these instructions and STEP 3 of your application.
· Leave the MT Case# box blank.
o IF ANYONE IN YOUR HOUSEHOLD PARTICIPATES IN ANY OF THE ABOVE LISTED PROGRAMS:
· Mark YES in the box and provide a MT case number for SNAP, TANF, or FDPIR. You only need to write one case number. If you participate in SNAP and do not know your case number, contact: 1-866-850-1556. You must provide a MT case number on your application if you marked the box YES.
· Skip to STEP 4 of these instructions and STEP 4 of your application.
STEP 3: Report Income for ALL Household Members
A. Child Income
Report all income earned by children. Refer to the chart titled “Sources of Income for Children” in these instructions and report the combined gross income, for ALL children in your household listed in STEP 1, in the box marked “Total Child Income”. Only count foster children’s personal income if you are applying for them together with the rest of your household. It is optional for the household to list foster children living with them as part of the household.
What is Child Income?
Child income is money received from outside your household that is paid directly to your children on a regular/frequent basis. Infrequent earnings, such as occasional baby-sitting or mowing lawns, are not counted as income. Many households do not have any child income. Use the chart below to determine if your household has child income to report.
Sources of Income for Children
Sources of Child Income Example(s)
* Regular earnings from work * A Child has a job where they earn a salary or wages.
* Social Security Disability Payments Survivor's Benefits * A child is blind or disabled and receives Social Security benefits. A parent is disabled, retired, or deceased, and their child receives social security benefits.
* Income from persons outside the household * A friend or extended family member regularly gives a child spending money.
* Income from any other sources * A child receives income from a private pension fund, annuity, or trust.
Adult Income - Who should I list here?
When filling out this section, please include all members in your household who are:
· Living with you and share income and expenses, even if not related and even if they do not receive income of their own.
· College students temporarily away
Do not include:
· People who live with you but are not supported by your household’s income, and who do not contribute income to your household.
B. Adult Income
Print the first and last name of all Household Members not listed in STEP 1 even if no one receives income.
Sources of Income
Report earnings from work. Refer to the chart titled “Sources of Income for Adults” in these instructions and report all income from work in the “Earnings from Work” field on the application. This is usually the money received from working at jobs. If you are a self-employed business or farm owner, you will report your net income. This is calculated by subtracting the total operating expenses of your business from its gross receipts or revenue.
Report income from Public Assistance/Child Support/Alimony. Refer to the chart titled “Sources of Income for Adults” in these instructions and report all income that applies in the “Public Assistance/Child Support/Alimony” field on the application. Do not report the value of any cash value public assistance benefits NOT listed on the chart. If income is received from child support or alimony, only court-ordered payments should be reported here. Informal but regular payments should be reported as “other” income in the next part.
How do I fill in the amount and how often it is received?
For each type of income.
· Report all amounts as gross income ONLY. Report income in whole dollars. Do not include cents.
o Gross income is the total income received before taxes or deductions.
o Many people think of income as the amount they “take home” and not the total, “gross” amount. Make sure that the income you report on this application has NOT been reduced to pay for taxes, insurance premiums, or any other amounts taken from your pay.
· Write a “0” in any fields where there is no income to report. Any income fields left empty or blank will be counted as zeroes. If you write ‘0’ or leave any fields blank, you are certifying (promising) that there is no income to report. If local officials have known or available information that your household income was reported incorrectly, your application will be verified (chosen to provide proof of income) for cause.
· Mark the circle to the right of the dollar amount to indicate how often income is received.
Report income from Pensions/Retirement/All other income. Refer to the chart titled “Sources of Income for Adults” in these instructions and report all income that applies in the “Pensions/Retirement/All Other Income” field on the application.
Use this chart to determine if your household has income to report.
Sources of Income for Adults
Earnings from Work Public Assistance/Child Support/Alimony Pensions/Retirement/All Other Income
*Gross income from salary, wages or cash bonuses. *Unemployment benefits. *Social security (including railroad retirement and black lung benefits)
*Net income from self-employment (farm or business) *Worker's Compensation *Private pension or disability
*Strike benefits *Supplemental Security Income (SSI) *Income from trusts or estates
If you are in the U.S. Military: *Cash assistance from State or local government *Annuities
*Basic pay and cash bonuses (do NOT include *Alimony payments *Investment Income
combat pay, FSSA or privatized housing *Child support payments *Earned interest
allowances) *Veteran's benefits *Rental Income
*Allowances for off-base housing, food and clothing *Regular cash payments from outside household
C. Report total household size.
Enter the total number of household members in the field “Total Household Members (Children and Adults)”. This number MUST be equal to the number of household members listed in STEP 1 and STEP 3. If there are any members of your household that you have not listed on the application, go back and add them. It is very important to list all household members, as the size of your household determines your income cutoff for free and reduced-price meals.
D. Provide the last four digits of your Social Security Number.
The household’s primary wage earner or another adult household member must enter the last four digits of their Social Security Number in the space provided. You are eligible to apply for benefits even if you do not have a Social Security Number. If no adult household members have a Social Security Number, leave this space blank and mark the box to the right labeled “Check if no SSN”.
STEP 4: Contact Information and Adult Signature.
All applications must be signed by an adult member of the household. By signing the application, that household member is promising that all information has been truthfully and completely reported. Please also make sure you have read the use of information and civil rights statements on the back of the application.
1. Provide your contact information. Write your current address in the fields provided if this information is available. If you have no permanent address, this does not make your children ineligible for free or reduced-price school meals. Sharing a phone number, email address, or both is optional, but helps us reach you quickly if we need to contact you.
2. Sign and print your name. Print and sign your name in the designated boxes as the adult completing the form.
3. Write today’s date. In the space provided, write today’s date in the box.
4. Share Children’s Racial and Ethnic Identities (optional). On the back of the application, we ask you to share information about your children’s race and ethnicity.
This institution is an equal opportunity provider.