Parent / Guardian Economic Status Form

October 15, 2020

Dear Parents / Guardians,

Your help is needed!

I am writing to you to ask for your assistance in collecting vitally important data that will be used in the determination of RSU 25’s eligibility status to receive economically disadvantaged funds under the Essential Programs and Services Funding Act relative to next year’s school funding. Even though RSU 25 will be offering universal free lunch and breakfast for the remainder of the school year, this form should be completed by all families. If you have already submitted your information this year, thank you, and disregard this request.

Ordinarily this information is gathered at the beginning of the school year from the forms associated with the school nutrition program, but with the disruption of our normal routines because of COVID-19 we have seen a significant decrease in the number of forms returned. This is to be expected given the hybrid programming and the number of families who have chosen remote learning for this year. However, this data is critical in determining the funding RSU 25 will receive in next year’s general purpose aid calculations for educational programming.

Please use the table below as guidance to determine your student's economic status. If your household income is less than the Annual or Monthly earnings shown on the chart below, then your student meets the economic disadvantage status criteria, and please select either meets free guidelines or meets reduced guidelines. If your income is greater than the Annual or Monthly earnings listed for your household size, please select does not meet income guidelines. Household size is determined by the number of adults and children living in the home.

Please complete this form for each student living in your household.

If you have any questions, please contact Sue Bennett, at 469-7311. Thank you for your assistance and cooperation.

Jim Boothby

Email address *
Student's Last name *
Student's First name *
Name of Student's School *
Student's Current Grade *
Select one: *
Name of Parent / Guardian completing this form *
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