Application Information
Please submit the following data on agency letterhead:
- School name
- Address
- Type of school - private profit or nonprofit
- CDS code - county, district, school code
- Grades - the grade span of students being taught at the school
- School district that the school is located in
- Enrollment data - time frame (as of October 2011)
- National School Lunch Program data
- Time frame (as of October 2011)
- Number of students eligible for free meals
- Number of students eligible for reduced-price meals
- Signature of Principal or Executive Director
- Submit original letter
A determination will then be made on the school's eligibility for placement on the designated low-income list for fiscal year 2012-13. The October 2011 data are used to determine eligibility for fiscal year 2012-13. These data must be submitted annually. Please mail the above information to:
Attn: Ross Valentine
School Fiscal Services Division
California Department of Education
1430 N Street, Suite 3800
Sacramento, CA 95814