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Emergency Lunch Fund Application

Many families in Grand County do not qualify for free meals based on income, but don't make enough money to comfortably provide breakfast and/or lunch to their school-age children. 
 
If your family or children meet any of the following situations you may be eligible for free or reduced priced meals, regardless of income: 
  • Families or children who participate in SNAP, FDPIR, or TANF 
  • Families or children who are living in motels, hotels, hostels, RVs, campgrounds, emergency or transitional shelters, abandoned buildings, cars, parks, or any other public or private places not designed or ordinarily used as permanent lodging.
  • Families or children who are sharing the housing of another person due to loss of housing, economic hardship, or a similar reason.
  • A child who is formally placed by the court into foster care. 
  • A child who is identified as a runaway and receiving assistance from a program under the Runaway and Homeless Youth Act.
  • Families or children considered migrant agricultural workers. 
If your family or children do not meet any of those situations, please complete this application.  GCSD often has some funds available from generous donors to help pay for student meals.  We cannot apply emergency lunch funds to your student's account without a completed Emergency Lunch Fund Application AND a completed Meal Benefits (Free & Reduced) Application.  
 
We are happy to work with your family to ensure your students receive nutritious meals at school and connect you with community resources, if needed.  If you find that your family is struggling to provide meals for your children, please contact: 
Alysha Packard, SNS
Director of Child Nutrition
Grand County School District
(435) 259-2757
[email protected]  
Moab Lunch Lady
 

Please complete the form below. Required fields marked with an asterisk *

Parent/Guardian Contact Information

State
Answer Required

Student (1) Information

Student (2) Information

Student (3) Information

Did you complete a Meal Benefit (Free & Reduced) Application after July 1, 2022?*
Answer Required
Has your household experienced a change in income or household size since you completed a Meal Benefit Application for the 2022-2023 school year?*
Answer Required
How long are you requesting Emergency Lunch Funds for your student(s)? *
Answer Required

Signature of Parent or Guardian

ELECTRONIC SIGNATURE AND DISCLAIMER: Type your name below as your signature. By typing your name below, you are signing this document electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this agreement.

Once you have completed this application, the Grand County Child Nutrition Office will contact you within 5 business days.  A meal benefit (free & reduced) application for the current school year is required for emergency lunch fund requests to be approved.   If you have not completed your application for the 2022-2023 school year, please complete one as soon as possible.  Additional information may be required to approve your student(s) for emergency funds.  If we do not recieve the necessary information within 10 business days of your application, your application for emergency lunch funds will be denied.  Emergency funds are not always available, but any available funds will be applied to student accounts based on the date of this application.  If you have any questions or concerns, please contact: 

Alysha Packard, SNS

Director of Child Nutrition Programs

Grand County School District

(435) 259-2757

[email protected]

 

USDA Nondiscrimination Statement

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

(1) Mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410;

(2) Fax: (833) 256-1665 or (202) 690-7442; or

(3) Email: [email protected].

This institution is an equal opportunity provider. 

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