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THE PLAINFIELD PUBLIC SCHOOL DISTRICT 1200 Myrtle Avenue. Plainfield. NJ 07063 Phone (908) 731-42(X) Superintendent: Dr_ Diana B4itcheII Fax (908) 731-4336 o o ooo Stu n ts Work & Meeting Septernber 20.2022 @ - 11:59PM PHS cafe & zoom Tweets by PlainfieldBOE B Docs Parents Teach Staff Reg i n TO for Middle September 21.2022 @ 6:00PM - Schools Job Openings TO Night for Septernber 2022 TO Night for Elerrentary September 20.2022 Service Let •s.

2022-202310 Calendar 2022-202312 Month Calendar 2023-202410 Month Calendar 2023-202412 Month Calendar Asbestos Hazard Emergency Response Act Attendance Procedures Cödigode Conducta del Estudiante ESEA Elementary & Secondary Education Act Family Educational Rights and Privacy Act of 1974 Lunch Application Step 1: Read, print or download theLetterto Parents Step 2: Read, print or download the NJ Familycare Information Sharing Form Step 3: Proceed to Online Application System • Click Here Paso 1: leer, imprimir o descargar la Carta a los padres Paso 2: leer, imprimir o descargar el formulario de intercambio de informaci6n Familycare NJ Paso 3: Continüe con el sistema de aplicaciön en linea • Paga clic aqui Plainfield Public Schools Online Lunch Application. Please email contact your student's school if you have questions. P•EBT: Pandemic Electronic Benefit Transfer Program School Meal Changes for 2022-2023 School Year English.

HORIZON SOFTWARE Languages: English Welcome 1 2 Students O Prcvams 4 Other Members Inmrne 5 6 Review 7 Free & Reduced School Meals Application (2022-2023 School Year) • Your Childs individual status as foster, homeless, migrant, or runaway • Participation in an assistance program by any member of your household Your U.S.citizenship, immigration status, or not having a SSN does not affect your eligibility for receiving benefits. Getting started checklist Lastly, we've compiled a list of the information you might need to complete the application. • Review the Income Eligjbjljty Guidelines for the 2022-2023 school year.. If you are a participant of any assistance program , have your case number ready. • If you are not a participant of assistance programs, gather any income documentation for all members of your household. • Know how to contact your local school for any questions. Activat Stan Application Go to SettlTIY2.

• HORIZON SOFTWARE Languages: Free & Reduced School Meals Application (2022-2023 School Year) I 2 4 5 6 7 English Welcome Students Other Members Inmme Review First Name ' Jesus Last Name ' Peraza Email myemail@gmail.com Back Activate Windo Go to Settings to acti1L.

SOFTWARE Languages: English Welcome 2 Students O Programs Other Members 4 5 Income 6 7 Review 650F Count all the students living in your household that attend schools in the same school district. How many students are there? Note: If you have 1412 students who attend schools in other school districts, you will be able to add them to your application during a later time. Back Activate Windo Go to Settings to activaæ u 9:ff.

• HORIZON SOFTWARE Languages: 2 3 4 5 6 7 English Welmme Students Other Incorne Your Students (2022-2023 School Year) Zelda's The more information you can provide, the better we can match your student to your application. First Name • Zelda Middle Name Last Name • Alarcon Enrolled in GED/ 12th Grade or lower Student ID Wheresan-Lfind-my-student:sJO? Grade 02 School Dewitt D. Barlow Elementary OTHER OPTIONS Privacy Poli%' Help Center Date of birth Month March This child is Day 12 Year 2015 Ü Foster child (court - ordered) Homeless (McKinney - Vento Homeless Assistance Act).

• HORIZON Languages: 3 4 5 6 7 English Welcome Students Other MerntE•rs Income OTHER OPTIONS Privæy Policy O Help Center Assistance Programs (2022-2023 School Year) Is any member of your household enrolled in Assistance Programs? Yes, SNAp Supplemental Nutrition Assistance Programs C] Yes, TANF Temporary Assistance for Needy Families No, no one in our household Note: Medicaid and Bridge Card numbers are not acceptable case See Help for more information on Assistance Programs. Back.

C frapps.horizonsolana.com/other-children Other Children (2022-2023 School Year) • HORIZON SOFTWARE Okay, it looks like we will need more information about the rest of your household and income to determine your eligibility. Languages: English Let's talk about the other children in your household Students Other than Zelda , are there any other children in your household? This includes: o Other MemtErs K-12 students who attend schools in a school district other than Plainfield Public Schools • Children that attend day care or pre-school, or are not of school age, including infants • Anyone 18 years of age or younger living in your household that does not currently attend school O contact O Review Add Child OTHER OPTIONS Privacy Policy Back No other children.

C frapps.horizonsolana.com/income/children • HORIZON SOFTWARE Languages: English Welcome Students Other MemtHs Income 5 6 7 OTHER OPTIONS Privæy Policy O Help Center Income (2022-2023 School Year) Let's start the income section by looking at your children's income Some common sources of income for children are: • Full- time / part -time job • Social Security benefits, if the child is disabled, or is the beneficiary of another person's Social Security benefits • Money regularly received from extended family or friends outside the household • Money from a pension, annuity, or trust Do not include infrequent earnings, such as income from occasional baby- sitting or mowing lawns. Does Zelda have income? O Yes O Not sure Back.

HORIZON SOFTWARE Languages: English Welcorne Students Prcvarns Other &1erntErs Income 5 6 7 OTHER OPTIONS Privacy Pdi%' Help Income (2022-2023 School Year) Next, let's look at the adult's income Some common sources of income for adults are: • Earnings from work • Pyblif assistapce, 91!mppy, or Fhild iuppp.r.t • Peps!pps or retirement • Trusts , estates, investments, earped interest, reptal income , or regu!ar caih payments from outside the household Does John have income? @ Yes o NO O Not sure Does Selma have income? O Yes C) Not sure.

• HORIZON SOFTWARE Languages: English Students Programs Other Members lnØrne 5 6 7 OTHER OPTIONS Privæy Policy Help Center Income (2022-2023 School Year) John Income Does John have income from any of the following sources Money earned from a full or part-time job Military basic pay, cash bonuses, and allowances for off- base housing, focxi, and clothing Ü Public assistance including Supplemental Security Insurance ($1), cash assistance, or housing subsidies from state or local government Ü Alimony or child support Unemployment benefits, Veterans benefits, workers compensation, strike benefits, or Sæial Security Disability Insurance (SSDI) Ü Retirement income from Social Security (including survior benefits, Black Lung Benefits, and Railroad Retirement) or pensions Any other income, such as regular cash payments from outside the household, rental income, earned interest, investment income, and annuities Back Next.

frapps.horizonsolana.com/income/adult/l'details HORIZON SOFTWARE Languages: Income (2022-2023 School Year) Income reported should be John 's current , gross income. Gross income means all money earned or received before deductions, such as taxes and insurance premiums.You should not report net income, which is commonly referred to as "take English Welcome Students Other MemtErs Income 5 6 7 home pay." Full-time / Part - time Job Salary/ Wages S Amount 700 + Add Additional Income Ü Tips Ü Commission Ü Cash Bonus O Net income from self- employment Back Annually Monthly Weekly Twice per month Every two weeks Hourly OTHER OPTIONS Privæy Policy Help Center Next.

C frapps.horizonsolana.com/contact 'HORIZON Languages: English Welcorne Students Other Income 6 7 OTHER OPTIONS Pnvæy Policy Help Center Contact Info (2022-2023 School Year) Add your contact info in case we need to contact you about your application. Household Address Street Address Line 2 Anywhere Street Address Line 2 City Plainfield State New Jersey 07060 Back Primary Contact Phone g 908 111 2222 jdoe27@gmail.com.

Let's review your application Students Zelda Alarcon Cale of Birth 3/12/2015 Adults Mark Alarco (Applicant) Selma Alarcon Assistance Programs No one in the household Household Income Mark Alarco Dewitt D. Barlow Elementary Grade 02 Remove Remove Edit Edit Edit Edit Edit.

Sign & Submit (2022-2023 School Year) XXX-XX-L.s: SSN have SSN Terms USDA Non- Discrirnination Statement In öCC0rdance with federal civil rights law a nd u,S. Of Agriculture (USOA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis Of race, c 010', national Origin, (including der identity and sexual orientation), disability, a F, or reprisal or retaliation for prior civil rights information may 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, audiolape, American Sign Language), should contact the responsible stale or local agency that administers the prc4ram or USDAs TARGET center at (202) 720-2600 (voice and TTY) or USDA through Federal Relay service (BCH)) 8778339. To file a program discrimination complaint, Complainant should complete Form AD•3027, USDA Program Discrimination Complaint Form which can be obtained online at: , from any USDA office, by celling (866) 632•999Z or by writing letter eddressed to LJSOA_ The letter must contein the complainant's neme, &ddtess, telephone numt*r, end written description of the alleged discriminetory action in sufficient det&il to inform the Assistent Secretary for Civil Rights (ASCR) ebout the neture and date of an alleged civil rights violatiom The completed ACL3027 form or letter must be submitted to USDA by. (I) mail: U.S. Department Of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independeruze Avenue, SW Washington, DC. 202508410; (2) (833) or (202) or (3) erneiL usde-gz. This institution is an equel opportunity pro.'ider_ Attesting Statement I certify (promise) that ell information on this applicetion is true and that ell income is understand that this informetion is given in connection with the receipt of Federal funds, end that school offici.ls m.yverify (chek) the information. I am aware that if I give false informetion, my children may lose meal benefits. and I may be prosected under the applicable State end gederel Laws. Consent for Disclosure If your children get free or reduced price school meals, they MAY also be able to get free or low• cost health insurance through Medicaid or the State Childreris Health Insurance Program (SCHIP) The law allows us to tell Medicaid and SCHIP that your children are eligible for free or reduced price meals, unless you tell us not to.M&dic.id and SCHIP only use the information to identify children who mey eligible for their programs and will mt share the with any other entity or prcgr.m.Progrem officiels may contact you to offer to enroll your children_Filling out the Free and Reduced Price School Meels Applic.tion does not eutom.tically enroll your children in health insurance. If you DO NOT want us to share your information With Medicaid or SCHIR select the checkbox below.Selecting the checkbox DOES NOT affect eligibility for or participation in the programs. DO NOT share information from my Free and Reduced price Schcd Meals Application with Medic.id or SCHIP I certify' that are in my household and our household income is about 3 PEOPLE We calculated this numier by converting all the income ycu reported into a monthly amount When your app 'cation is processed, the household income usedto determine eligibility may vary slightly from the amour-I shown above. I certify that the information I provided on this application is correct to the of my knowledge. • I understand that this information is given in connection with the reeipt Of Pederal funds, and that "hul oflcials may verify (check) the information. I am aware that f I puræosely give false information, my children may meal benefits Deliberate misrepresentation of information may subject applicants To prosecution under applicable State and Federal Law Signed by Mark Alarco on Friday, 16, 2022..

Your Application has been Submitted! Thank you for submitting the Free & amp; Reduced School Meals Application for 2022-2023. 3 PEOPLE are in your household and that your household income is about $700.00 Weekly. You certified that Students in your household: • Zelda Alarcon Your transaction number is 257220916173128555. What's Next? Your application will now be reviewed by your local school's free & amp; reduced official.You will be notified either by email (if provided) or mail of your application results. If you have any questions about your application status, contact your school for more information. Note: Remember to submit a new application if you get more household members or a household member's income becomes lower..