STUDENT FEE WAIVER AND REDUCTION PROCEDURES
The Decorah Community School District recognizes that while certain fees charged students are appropriate and authorized, certain students and their families are not financially able to pay the fees. The District will grant either full, partial, or temporary waivers depending upon the circumstances and the student's or student’s parents’ ability to meet the financial criteria.
STUDENT FEE WAIVER AND REDUCTION PROCEDURES
Students whose families meet the income guidelines for free and reduced price lunch, the Family Investment Plan (FIP), transportation assistance under open enrollment, or who are in foster care are eligible to have their student fees waived or partially waived. Students whose families are experiencing a temporary financial difficulty may be eligible for a temporary waiver of student fees. Parents or students who believe they may qualify for a full, partial or temporary waiver should contact the principal at registration time for a waiver form. This waiver does not carry over from year to year and must be completed annually.
Date of Last Review: October 14, 2019
Date of Revision: March 10, 2008
565550
Code No. 501.13R1
Exhibit A
STUDENT FEE WAIVER APPLICATION
Date _____________ School Year _____________________
All information provided in connection with this application will be kept confidential.
Name of student:___________________ Grade in school_______
Name of parent, guardian, or legal or actual custodian:_________________________________________
Please check type of waiver desired:
Full waiver _____ Partial Waiver ______ Temporary Waiver _____
Please check if the student or the student's family meets the financial eligibility criteria or is involved in one of the following programs:
________Free meals offered under the Child Nutrition Program
________The Family Investment Program (FIP)
________Transportation assistance under open enrollment
________Foster care
________Reduced price meals offered under the Child Nutrition Program
Signature parent, guardian, or legal or actual custodian:________________________________________
Note: Your signature is required for the release of information regarding the student's or the student's family financial eligibility for the programs checked above.
Date of Last Review: October 14, 2019
Form Revised: March 10, 2008
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DECORAH COMMUNITY SCHOOL BOARD OF DIRECTORS