Child Nutrition and Education Benefit Application
How to Apply for School Meals, Education Benefits
Please use these instructions to help you fill out the Child Nutrition and Education Benefits Application. You only need to submit one application per household, even if your children attend more than one school in Dansville Schools. The application must be filled out completely to certify your children for school meals, education benefits, and summer EBT. Please follow these instructions in order. Each step of the instructions is the same as the steps on your application. If at any time you are not sure what to do next, please contact Missy Kadluboski, 517-623-6120, ext. 4337 or kadluboskim@dansville.org.
PLEASE USE A PEN (NOT A PENCIL) WHEN FILLING OUT THE APPLICATION AND DO YOUR BEST TO PRINT CLEARLY.
Free and Reduced Application
To fill out a school Education Benefits Form (used for funding, fee waivers, and meals), list all household students in Part A, skip assistance programs if you do not get them, write total household size and gross income in Parts C and D, and sign/date Part E. Submit only one form per household directly to your school.
Student & Household Information
- Part A (Students): List the full legal name, school name, and grade level for every child in your household from Pre-K through 12th grade. Note if any child is foster, homeless, migrant, or runaway.
- Part B (Assistance Programs): Write down case numbers if anyone in your home gets SNAP, TANF, or FDPIR. Otherwise, skip this section completely.
- Part C (Family Size): Enter the total number of people living in your home, combining all adults and children.
- Income & Certification
- Part D (Income): Write the gross monthly income (before taxes and deductions) for each household member by source. If someone has no income in a category, write zero or "none". Add the amounts together for a total monthly household income.
- Part E (Sign & Date): Print the name of the adult signing the form, provide your signature, current date, and basic contact details. Return the finished paper form or complete the digital submission via your district’s family portal.
