Application for Free & Reduced Priced  Meals

Family Income Survey

July 24, 2023

Dear Parent/Guardian:

We Need Your Help!  Our school is participating in a federal program called the Community Eligibility Provision (CEP). This program allows all children in our school to eat at no charge. However, some education programs we provide are funded with state dollars. 

We will no longer be collecting Free and Reduced-Price Applications every year, instead, we must collect the Family Income Survey. This form helps us collect household information for all students attending CEP schools. Without this information, Onalaska Schools could lose important state funding for educational programs that our students are entitled to.

What You Can Do Please take a moment to complete the form and return it to your student’s school. The Family Income Survey captures information and ensures the district/school receives state funding for education programs.

We’re excited to offer no-cost meals to all students and appreciate your help. In order to continue to offer this program, we must collect this important data. If you have any questions, please contact Jerry Carlson at 360-978-4111 and option 6 or


Jerry Carlson

Child Nutrition Director Onalaska School District

Non-Discrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: Click Link Here, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; fax: (202) 690-7442; or Click to Email Here.

This institution is an equal opportunity provider.

Onalaska School District does not discriminate in any programs or activities on the basis of sex, race, creed, religion, color, national origin, age, veteran or military status, sexual orientation, gender expression or identity, disability, or the use of a trained dog guide or service animal and provides equal access to the Boy Scouts and other designated youth groups. The following employees are designated to handle questions and complaints of alleged discrimination: Civil Rights Coordinator, Title IX Coordinator Kristin Soderback 360-978-4111, Section 504 Coordinator Wade Pilloud 360-978-4113,, Address: 540 Carlisle Ave. Onalaska, WA 98570


El Distrito Escolar de Onalaska no discrimina ningứn programa o actividades por motivo de sexo, raza/ color de piel , credo (religión), origen nacional, edad, condición de veterano o militar, orientación sexual/identidad del género (masculino o femenino), discapacidad motora o mental, uso de un perro guía o animal de servicio entrenado para personas con discapacidades, y provee igualdad de acceso a los clubes (Boy Scouts), y otros grupos o clubes designados para jóvenes, así como los requeridos por el estado y la leyes federales. Las consultas sobre los procedimientos de cumplimiento pueden dirigirse al Oficial del Título IX del Distrito: Kristin Soderback 360-978-4111,; el Oficial de la Sección 504: Coordinator Wade Pilloud 360-978-4113, Address 540 Carlisle Ave, Onalaska, WA 98570.