Programs & Services - Fuel Up! School Lunch Program - Subsidy - Subsidy Application Form

Programs & Services - Fuel Up! School Lunch Program - Subsidy - Subsidy Application Form

Subsidy Application Form

Legal last name:

Legal first name:

School:

Grade

Division

Child 2, Legal last name:

Legal first name:

School:

Grade

Division

Child 3, Legal last name:

Legal first name:

School:

Grade

Division

Child 4, Legal last name:

Legal first name:

School:

Grade

Division

Parent/legal guardian (lives with student): *

Contact Email:

Please give the email address that the Fuel Up Coordinator should contact to confirm arrangements.

Telephone:

I am seeking a lunch subsidy for:

Financial Reasons (see below)

A special circumstance (see below)

To help us understand the needs families are facing, or to anticipate what that looks like over time, we\'d appreciate if you can take a moment to share this information with us. If you don\'t feel comfortable, we understand and you can skip this question.

Please briefly describe your reasons for applying for the Fuel Up! subsidy:

To assist in providing as many healthy meals as possible, please pay what you can. Some families will require a full subsidy, where meals will be provided at no cost to the families, and some families will be able to pay a partial fee with a partial subsidy. Do you require a partial subsidy or a full subsidy?

Subsidy Level:

I require a PARTIAL subsidy

I require a FULL subsidy

If you are seeking a partial subsidy, please select the amount that YOU are able to pay:

I have read and understand:

the program information

every effort will be made to provide allergen free meals, however, common food allergens are used in our caterer's kitchen and cross contamination is always a possibility.

that if my child(ren) has severe allergies, I should pack a meal from home instead of using the school lunch program.

If approved

If your application to receive either partial or full subsidy is approved, the approval will be given for the full school year. If family circumstances change and you no longer wish to partake in the program, you can contact the team at Simply Foods or your school Principal to adjust the financial approval listed in the system.

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