University Place School District
[Pages:2]University Place School District
APPLICATION FOR "FEE ADJUSTMENT" For School Year 2019-20
Per board policy, the district offers fee reduction to students who are eligible for free or reduced meals under federal guidelines. To apply for reduced fees, please complete and sign this application and return it to your child's school along with a letter from "Child Nutrition Services" or from "Family Access" verifying that you qualify. See instructions on the back.
Student Name: ________________________________________________________ Fee Description: ________________________________ Fee Amount:____________
Parent/Guardian Signature:__________________________________
Date:____________
District Use Only:
Notification to Parent: ____________________
(Date)
Qualified _____
_____Free Lunch
? Amount 25% __________
_____Reduced Lunch ? Amount 50% __________
Does Not Qualify ____
Approved by _________________________Date_________________
Field Trip amounts vary based on the costs of each individual event. $_________ Reduced fees are calculated based on district guidelines specified above.
Additional assistance may be available for fees not listed above through UP Children's Fund or the Invest ED Fund. Please see your student's school counselor for more information.
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