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Household Application for Free and Reduced-Price Meals 2016-17

 Meal benefit eligibility from last school year will remain current only through September 2016 OR until a 2016-2017 application is processed.

  • Please complete in black/blue ink (not pencil)
  • If you are NOT applying for meal benefits, discard this form.
  • If you ARE applying for free or reduced-price meals, first, last name and middle initial are required.
  • Please provide student ID#, birth date and school to expedite processing.
  • Use ONE application for ALL students in the household—including Pre-K, kindergarten, and foster—even if they attend different schools.

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat  



Adobe PDF Formulaire de Demande Pour les Repas Gratuits et à Prix Réduit 2016–2017 Pour les Familles



Adobe PDF Đơn Xin Hưởng Bữa Ăn Miễn và Giảm Giá của Gia Đình 2016-2017




Adobe PDF 2016–2017學年免費和減價校餐家庭申請表


Adobe PDF 2016-2017 학사연도 무료/할인 학교급식혜택 신청서



Adobe PDF ለነጻ ወይም ቅናሽ ዋጋ ምግብ የቤተሰብ ማመልከቻ 2016–2017



Montgomery County Public Schools serve breakfast and lunch every school day. If your total household income is the same or less than the amounts on the Income Chart on the form, your child may qualify for free or reduced-price meals.

The following students may be eligible for free meals:

  • Students in households participating in WIC

The following students qualify for free meals:

  • Foster children
  • Students certified as homeless or runaway
  • Students enrolled in the Migrant Education program
  • Students enrolled in the Head Start program
  • Students in households receiving Food Supplement Program (FSP) or Temporary Cash Assistance (TCA)

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