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Educational Benefits in District 191

Educational Benefits Application or Waiver

IS THIS FOR ME?
YES. We are asking every family to complete an Application for Educational Benefits OR fill out the waiver letting us know that they've chosen not to do so.

Please fill out all the information below and then select whether you are choosing to apply or waive.

WHY?
The benefit for you: If your family qualifies, your students can receive free or reduced-price meals and possibly other benefits, including discounts for participation in athletics, band and other activities. 

The benefit for schools: Some school funding is based on number of students who qualify for benefits. So by filling out an application, you are helping to ensure every school in District 191 gets all the funding it deserves.

WHAT IF I ALREADY RECEIVED A CERTIFICATION OF ELIGIBILITY?
If you already received letter from the District 191 Food & Nutrition Services Department certifying your eligibility for benefits, please select the "No, I don't need to because I already received certification" option below.

QUALIFCATION CRITERIA

Complete an application if any of the following apply to your household:

  • Any member of the household currently participates in any of these three programs: Minnesota Family Investment Program (MFIP), Supplemental Nutrition Assistance Program (SNAP), or Food Distribution Program on Indian Reservations (FDPIR); or
  • The household includes one or more foster children (a welfare agency or court has legal responsibility for the child). or
  • Total household income (gross earningsnot take-home pay) is within the guidelines below (effective July 1, 2018 through June 30, 2019):

2. Student Information

Whether you are applying or filling out a waiver, please fill out the form below to ensure your choice is noted for each of your children.

Birthdate is required.
Space Cell Student NameStudent ID#Birthdate (MM/DD/YYYY)School
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
4. Permission to Share Your Information

To be considered for all the benefits listed below, we need each student(s) parent/guardian to provide permission for their student(s) information to be shared with District 191 staff, as necessary. By selecting "Yes," you are providing District 191 with permission to share your student information with staff for the following benefits:
  • Athletics reduced fees,  
  • Activities reduced fees
  • Supplemental Field Trips reduced fees
  • Community Education Programs reduced fees
  • Transportation reduced fees (Pay-to-Ride)
  • BrainPower in Backpack
  • Opportunity to benefit from Community Donations (cash, winter wear, school supplies)
  • Internet Accessibility
  • Information on Free Medical and Dental Clinic located at Diamondhead Education Center
  • Information on Comcast Internet Essentials Program
*This question is required.
5. Would you like to apply for educational benefits at this time? *This question is required.