Archimedean Schools

Free & Reduced-Price Meal Application

Before You Start

Available languages: English · Español · Ελληνικά · Kreyòl Ayisyen

Please provide all household members and income sources.
Use legal names as they appear on school records.
Applications are reviewed by the school office.
Only applications submitted to Archimedean Schools from this website will be considered.
Fill out all required fields. (*)
One application form per family.
This application is for school year 2025-2026.
After submitting, an application number will be generated and emailed to you along with a confirmation.
If confirmation is not received, please email our lunch program specialist. Email: [email protected]
Archimedean Schools is an Equal Opportunity Provider.
Household Definition

Lunch Application Form

Part 1 · Program Information

SNAP / Case Number (optional if you have a number you NEED to add it)

Part 2 · Household Members

Number of children *

Number of adults

Part 3 · Adult Household Contact

Adult First Name *

Adult Last Name *

Email *

Phone *

Last 4 digits of SSN *

I do not have an SSN

Optional · Ethnicity & Race

Ethnicity

Race

Part 4 · Household Income

Income by Household Member

Enter income amounts and select frequency for each source. (W) Weekly, (E) Every 2 weeks, (T) Twice a month, (M) Monthly, (A) Annual.

Member

Earnings from work before deductions (GROSS INCOME)

Freq

Public Assistance, Child Support, Alimony

Freq

Pension, Retirement, All Other Incomes

Freq

Household Size

0

Total Annual Income

$0.00

Estimated Eligibility

N/A

Part 5 · Consent & Agreements

YOU MUST ACCEPT BOTH STATEMENTS FOR YOUR APPLICATION TO BE PROCESSED

Accept Decline

I certify (promise) that all information on this application is true and that all income is reported. I understand that the school will get Federal funds based on the information I give. I understand that school officials may verify (check) the information. I understand that if I purposely give false information, my children may lose meal benefits, and I may be prosecuted.

Accept Decline

By my electronic submission of this application I verify my understanding/agreement with the above statement and all USDA guidelines regarding the Free and Reduced School Lunch Program.

Privacy Notice · Non-discrimination Statement

Signature

Please sign below before submitting.

Free & Reduced-Price Meal Application

Before You Start

Lunch Application Form

0

$0.00

N/A

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