Code No. 503.3E1

STANDARD FEE WAIVER APPLICATION

 

Date:___________________      School year: ____________

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

Name of student: ___________________________Grade: ________ School: _______________

Name of student: ___________________________Grade: ________ School: _______________

Name of student: ___________________________Grade: ________ School: _______________

Name of student: ___________________________Grade: ________ School: _______________

Name of student: ___________________________Grade: ________ School: _______________

 

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 Children Nutrition Program (CNP)

              The Family Investment Program (FIP)

              Transportation assistance under open enrollment

              Foster care

Partial waiver

              Reduced priced meals offered under the Children 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 / Actual Custodian)  ______________________________________    

Date ___________________

Determining Official ___________________________________   Date ___________________

 

Approved:10/28/09

Reviewed: 2/24/16

Revised: 2/6/22

Grinnell-Newburg School District, Grinnell, IA

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'/legal guardians' 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/legal guardians meet the financial eligibility criteria for free meals under the Child Nutrition program, Family Investment Program, 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/legal guardians meet the financial eligibility criteria for reduced price meals offered under the Child Nutrition program. The reduction percentage  will be 50% percent.

   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/legal guardians are facing financial difficulty. Temporary waivers may be applied for at any time throughout the school year and will not extend beyond the end of the school year.

2. Application - Parents/legal guardians or students eligible for a fee waiver will 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.

Students whose families meet the income guidelines for free and reduced price lunch, the Family Investment Program (FIP), or 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/legal guardians or students who believe they may qualify for temporary financial hardship should contact the principal or administrative assistant for a waiver form. This waiver does not carry over from year to year and must be completed annually.

Approved: 10/28/09

Reviewed: 2/6/22

Revised: 1/6/10

Grinnell-Newburg School District, Grinnell, IA