Meal/Fee Waiver Application

  • Meal/Fee Waiver Application

    For the school year 2021-2022, all students are eligible to receive school breakfast and lunch FREE OF CHARGE through federal funding for the school meal program. However, it is still important for families who may meet federal income eligibility guidelines to complete the application. Families who qualify will be eligible to receive applicable school fee waivers and other state or federal benefits, as available. Instructional fees have been waived for the school year 2021-2022.

    Additionally, if your household receives a letter or email stating that your child has been automatically approved for benefits, you do NOT need to complete an application. Please ensure that all of your children are listed on the letter, and notify the food service department immediately if they are not. Please call 847-718-7640.

    A printable version of the application is available below. Return completed application to High School District 214 Food Service Department, 2121 S. Goebbert Rd, Arlington Heights, IL 60005. Follow directions carefully. Applications must be completed thoroughly or they will be returned or denied. Application hardcopies are also available to be mailed by contacting the Department of Food Services at 847-718-7640.

    Please keep in mind that the annual Meal / Fee Waiver Application will still need to be completed if you need assistance with other applicable program fees and for meals. 

    If you would like to apply for Meal / Fee Waiver benefits, please visit the Infinite Campus Parent Portal to apply online. The form is located under the More/Meal Benefits Tab. 

    Eligibility for free or reduced priced school meals benefits is based on any one of these three things:

    1. your total household income and size in the month the application is filled out, or the month before, and members in the household or
    2. your child's individual status as foster, homeless, migrant, or runaway, or
    3. participation in a food assistance program by any member of your household

    Your US citizenship or immigration status does not affect your eligibility for free or reduced price benefits.

    We compiled a list of the information you might need to complete the application.

    If you have this information handy, it will make the application process fast and easy.

    • If you participate in SNAP, TANF, or FDPIR you will need to know your case number (not your card or account number)
    • If you do not participate in any of the above assistance programs, you will need to report your total household income. In that case...
    • if anyone in your household has a job, you may need to reference the earnings statement or pay stubs to report your gross income, which is different that the amount you actually receive in your paycheck.
    • if anyone receives Social Security or retirement benefits, you may need to gather the benefit statements to report the amount and frequency of the payments.
    • you may also need to reference other financial documents for additional sources of income.

    Detailed instructions on how to complete the online meal benefits application are below:

    Meal/Fee Waiver Application Instructions

    Meal/Fee Waiver Application Application Instructions: English

    Meal/Fee Waiver Application Application Instructions: Spanish

     

    Meal/Fee Waiver Application

    D214 2021.22 Spanish application - applicable fees only

    D214 editable 2021.22 Application - applicable fee waiver only

    Families of previously enrolled students should already have access to the Parent Portal. Any families new to District 214, should have received an email regarding the activation of their Parent Portal account.

    Eligibility for meal benefits will be determined within 10 days of receipt of application in our office. A letter of approval or denial will be ​mailed to your address on file notifying you of your ​child's (children's) ​eligibility status.

    We look forward to providing meals for your child in our cafeterias​. Our staff is committed to serving students nutritious meals, while maintaining variety to keep students satisfied.

    ​Thank you!

     


    In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

    Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing, or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

    To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at https://www.ascr.usda.gov/how-file-program-discrimination-complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

    Mail: U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410;
    Fax: (202) 690-7442; or
    Email: program.intake@usda.gov.

    This institution is an equal opportunity provider.

Non-Discrimination Statement


  • In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

    Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing, or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

    To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at https://www.ascr.usda.gov/how-file-program-discrimination-complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

    1. Mail: U.S. Department of Agriculture
      Office of the Assistant Secretary for Civil Rights
      1400 Independence Avenue, SW
      Washington, D.C. 20250-9410;
    2. Fax: (202) 690-7442; or
    3. Email: program.intake@usda.gov.

    This institution is an equal opportunity provider.