Code No. 503.3E1 Student Fee Waiver Application

Standard Fee Waiver Application

 

Date____________________                                                 School Year______________

 

All information provided in connection with this application will be kept confidential.

 

Name of Student: ___________________________ Grade in school___________

Name of Student:___________________________ Grade in school___________

Name of Student:___________________________ Grade in school___________

 

Attendance Center/School:__________________________________________________

 

Name of parent, guardian: or legal or actual custodian:____________________________

 

Please check type of waiver desired:

 

          Full waiver________ Partial waiver________ Temporary waiver_______

 

Please check if the student or the student's family meets the financial eligibility criteria or is involved in one of the following programs:

 

Full Waiver:

 

            _________ Free meals offered under the Child Nutrition Program

            _________ The Family Investment Program (FIP)

            _________ Supplemental Security Income (SSI)

            _________ Transportation assistance under open enrollment

            _________ Foster care

 

Partial waiver

 

            _________ Reduced priced meals offered under the Child Nutrition Program

Temporary Waiver

If none of the above apply, but you wish to apply for a temporary waiver of school fees because of serious financial problems, please state the reason for the request:

_________________________________________________________________________________________________________

 

Signature of parent, guardian or legal or actual custodian:____________________________________________________

Note:  Your signature is required for the release of information regarding the student or the student's family financial eligibility for the purpose checked above.

Revised/Reviewed:   April 22, 2024

Code No. 503.3R1 Student Fee Waiver and Reduction Procedures

The board recognizes that while certain fees charged students are appropriate and authorized, certain students and their families are not financially able to pay the fees.  The school district will grant either full waivers, partial waivers or temporary waivers depending upon the circumstances and the student or student's parents' ability to meet the financial criteria.

  1. Waivers –
    1. Full waivers - a student will be granted a full waiver of fees charged by the school district if the student or student's parents meet the financial eligibility criteria for free meals under the Child Nutrition program, Family Investment Program, Supplemental Security Income guidelines or transportation assistance under open enrollment.  Students in foster care are also eligible for full waivers.
    2. Partial waivers - a student will be granted a partial waiver of fees charged by the school district if the student or the student's parents meet the financial eligibility criteria for reduced price meals offered under the Child Nutrition program.  A partial waiver shall be based on the same percentage as the reduced price meals.
    3. Temporary Waivers - a student may be eligible for a temporary waiver of fees charged by the district in the event the student's parents are facing financial difficulty.  Temporary waivers may be applied for at any time throughout the school year and shall not extend beyond the end of the school year.
  2. Application - Parents or students eligible for a fee waiver shall make an application on the form provided by the school district.  Applications may be made at any time but must be renewed annually.
  3. Confidentiality - The school district will treat the application and application process as any other student record and student confidentiality and access provisions will be followed.
  4. Appeals - Denials of a waiver may be appealed to the superintendent.
  5. Fines or charges assessed for damage or loss to school property are not fees and will not be waived.
  6. Notice - the school district will annually notify parents and students of the waiver.  The following information will be included in registration materials and printed in the student handbook.

Students whose families meet the income guidelines for free and reduced price lunch, the Family Investment Program (FIP), Supplemental Security Income (SSI), transportation assistance under open enrollment or who are in foster care are eligible to have their student fees waived or partially waived.  Students whose families are experiencing a temporary financial difficulty may be eligible for a temporary waiver of student fees.  Parents or students who believe they may qualify for temporary financial hardship should contact the secretary for a waiver form.  This waiver does not carry over from year to year and must be completed annually.

Revised/Reviewed:  April 22, 2024