Income Eligibility Forms

All admitted students must have this form completed. Please be sure to fill out this form and send it with your student on the first day of programs or email to Jim Jordan at

Explanation and directions on how to fill out the form: 
Directions for Summer Food Program Income Form

Form in English:
Summer Lunch Program Income Eligibility Form

Form in Spanish/Formulario en Español:
El Formulario de Elegibilidad