Privacy Act Statement: This explains how we will use the information you give us.  The National School Lunch Act requires the information on this application.  You do not have to give the information, but if you do not, we cannot approve your children for free or reduced- price meals.  The Social Security Number of the adult household member who signs the application is required unless you list Food Stamp or TANF case numbers for all your children you are applying for Or if you are applying for a foster child.  You must check the “I do not have a Social Security Number” box if the adult household member signing the application does not have a Social Security Number.  We WILL use your information to see if your children are eligible for free or reduced-price meals, to operate the program, and to enforce the rules of the program.  We MAY share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for their programs, auditors for program reviews, and law enforcement officials to help them look into misuse of program rules.

Non-Discrimination Statement:  This explains what to do if you believe you have been treated unfairly.  In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability.  To file a complaint of discrimination, write to USDA, Director Office of Civil Rights, 1400 Independence Avenue, SW, Washington D.C. 20250-9410 or call (800)795-3272 or (202)720-6382 (TTY).  USDA is an equal opportunity provider.