Free & Reduced Price Meals

The information you provide by returning the 2022-23 Meal Application determines the base year funding sources for school meal programs under Provision 2. In subsequent and/or extension years, families may be asked to complete a simplified Household Income Survey to capture socioeconomic data and ensure Evergreen School District receives all of the funding it is entitled to for state educational programs.

Applications may be submitted anytime during the school year and households are encouraged to complete a new application if you experience a decrease in household income, become unemployed, have an increase in family size, or qualify for CalFresh, CalWorks/TANF, or FDPIR benefits. Please note: The 2021-22 Meal Applications expire on Sep 28, 2022. In order to avoid a lapse in benefits and ensure your eligibility is counted for school funding, please complete your 2022-23 Meal Application as soon as possible.

If a hard copy application is needed, applications can be requested from your child’s school office, at the Evergreen Child Nutrition Services office,  or print them at home using the links below. 

Only ONE application needs to be completed for each household. Please review the information prior to submitting application to ensure all required areas have been completed. Applications that are incomplete will be returned and the eligibility process will be delayed. An original copy with signature must be received for processing. It cannot be submitted by fax.

Please check the application for the following:

• All Student Names and Attendance School
• All other children in the household
• Names of all adult household members
• Income information for ALL household members
• Source of income
• Signature of parent or guardian
• Last four digits of the Social Security of the signing adult

Completed applications can be returned to your student's school or via the mail to:

Child Nutrition Services
2828 Corda Drive
San Jose, CA 95122

If you have any questions, contact Child Nutrition Services.

A benefit of participating in Provision 2 is that it reduces the burden on families to complete a Free & Reduced Meal Application every year. Instead, families will complete this form once every four years to make base year funding determinations for the school meal program. Evergreen School District’s base year is 2022-23.

Once your application is processed an eligibility letter will be mailed to your address. Since Free & Reduced Meal Applications are not collected in non-base years, Child Nutrition Services may be able to provide a Provision 2 Notice of Information or an Household Income Survey Notification Letter.  These letters are important documents for your records. They provide important documentation that make you eligible for programs and discounts like P-EBT, afterschool and summer programs, discounted utilities and more. If you need an additional copy of your eligibility letter, complete the eligibility letter request form.