Step 3 - Fill out all necessary forms

Please submit all required physical, dental and vision forms as soon as possible.  The following forms can also be found on the Elmhurst 205 District registration page (http://www.elmhurst205.org/forms) (many can also be found in Spanish)

HEALTH, DENTAL, VISION

Health Examination Form

Dental Examination Form

Vision Exam Form:

MEDICATION AUTHORIZATION

Medication Policy:

FINANCIAL ASSISTANCE & NSLP APPLICATIONS

District 205 will require parents/guardians seeking financial assistance with student fees to provide additional documentation when completing the application for fee waivers.

REQUIRED DOCUMENTATION:

___ Copy of Current Pay Stub(s) for all family members- REQUIRED  
Attach evidence of all current gross income. See pages 1 and 2 for more information.
___ Copy of Income Tax Form(s) 1040 – REQUIRED

The forms below may also be considered if applicable.  Attach copies of appropriate forms.

­­___Verification of Medicaid Eligibility                                                      ___Verification of Foster Child Status
___Proof of Unemployment                                                                           ___Proof if on Disability
___Miscellaneous Proof of income

Examples of Income Verification 
• Earnings/Wages/Salary for each job
• Unemployment Compensation/Disability/or Worker’s Compensation
• Social Security/Pensions/Retirement/VA Benefits/Strike Benefits
• Child Support/Alimony
• All Other Income
• If you have no income, you may be required to sign and notarize an affidavit attesting to no income.

The application for fee waiver will not affect the process that is currently in place for students qualifying for free or reduced meals through the National School Lunch Program. You will still need to complete a separate application for free or reduced meals through the National School Lunch Program. The fee waiver application and instructions are available below.

The application for fee waiver will not affect the process that is currently in place for students qualifying for free or reduced meals through the National School Lunch Program. You will still need to complete a separate application for free or reduced meals through the National School Lunch Program. The fee waiver application and instructions are available below.

Applications for the 2019-20 school year will be accepted starting July 1, 2019

Financial Assistance waiver Application (2019-20)
English Application
Spanish Application

DEADLINE - Request For Financial Assistance - Waiver of Student Fees are due by Friday, November 15, 2019.

**For York Students** please return the Financial Assistance Waiver Application as early as possible in July to allow time to order books before deadline - July 30.


NATIONAL SCHOOL LUNCH PROGRAM APPLICATION

Elementary & Middle School

High School

Completed free/reduced lunch applications must be turned in to your child's school for initial authorization.

Free and Reduced Lunch – Families that meet the federal guidelines are entitled to free or reduced lunch. To receive assistance, the Free and Reduced Lunch form must be completed and returned to the District Office. The form can not be completed prior to July 17th, and must include financial information for July on the District 205 registration website or in the York Principals’ Office. 

Families that receive the Direct Certification and Categorically eligible letter during the week of July 20th stating their child is free will not need to fill out the free application.  They should receive a letter for each child in their family and if they do not please call Food Services so we can make sure all family members are included.  Please keep this letter as you may need for other programs and benefits (Comcast, Park District etc)