This is a special milk only program for your ½-day kindergarten student. 8 oz. of milk is provided daily for a total cost of $18.00 for the entire year. We are able to offer this to ½-day kindergarten students ONLY because it is Federally subsidized. If you feel you qualify for free milk, please complete the blue "Application for Free Milk" that was also sent home in your child's opening day information or download the form from our link below.

Juice or water snack beverage is NOT a subsidized program, and is available at a cost of $75.00 per year. If you wish to participate, please fill out the white payment form, sent home in your child's opening day information. The form and a check should be returned to your child's building marked with your child's first and last name and teacher's name on the envelope.

You may also pay with an electronic check or credit card on the District web site. Click on "Parent Info", choose "Pay Schools" from the drop down menu and follow the prompts for "Elementary Beverage Purchase".

AUGUST - 2009

Dear Parent or Guardian of Half-Day Kindergarten Students:
Children need milk to learn. The Dexter Community Schools offer healthy milk every school day. Students may buy milk for $ .50. Your children may qualify for free milk.

• Do I need to fill out an application for each child? No. Complete the application to apply for free milk. Use one Free Milk Family Application for all students in your household. We cannot approve an application that is not complete so be sure to fill out all required information. Return the completed application to: DCS F&N Services, Sara Simmerman, Director , 7714 Ann Arbor Street, Dexter, Michigan, 48130.
• Who can get free milk? Children in households getting Food Assistance Programs (FAP), Family Independence Program (FIP), or Food Distribution Program on Indian Reservations (FDPIR )and most foster children can get free milk regardless of your income. Also, your children can get free milk if your household income is within the free limits of the Federal Income Guidelines.
• Can homeless, runaway, and migrant children get free milk? Please call: Rob Glass, Homeless / Migrant Coordinator, (734) 424-4100 Ext. 1001, to see if your child(ren) qualify if you have not been informed they will get free milk.
• Should I fill out an application if I got a letter this school year saying my children are approved for free milk? Please read the letter you got carefully and follow instructions. Call the school at 734-424-4100 ext. 1501 if you have questions.
• I get WIC. Can my child(ren) get free milk? Children in households participating in WIC may be eligible for free milk. An application must be filled out by WIC households.
• If I don't qualify now, may I apply later? Yes. You may apply at anytime during the school year if your household size goes up, incomegoes down,or if you start getting FAP, FIP, FDPIR, or other benefits. If you lose your job, your children may be able to get free milk.
  
• What if I disagree with the school's decision about my application? You should talk to school officials. You also may ask for a hearing by calling or writing to: DCS, Rob Glass, Superintendent, 7714 Ann Arbor Street, Dexter, Michigan, 48130, (734) 424-4100 Ext. 1001
• May I apply if someone in my household is not a U.S. citizen? Yes. You or your child(ren) do not have to be a U.S. citizen to qualify for free milk.
• Who should I include as members of my household? You must include all people living in your household, related or not, (such as grandparents, other relative or friends) including yourself and all children who live with you.
• What if my income is not always the same? List the amount you normally get. For example, if you normally get $1000 per month, but you missed some work last month and only get $900, put down that you get $1000 per month. If you normally get overtime, include it, but not if you only get it sometimes.
• We are in the military; do we include our housing allowance as income? If your housing is part of the Military Privatization Initiative, do not include your housing as income. All other allowances must be included in your gross income.
• What if my child does not have health insurance? Your children may qualify for low cost or free health insurance through MIChild and Healthy Kids Program. To apply on-line, go to www.michigan.gov/michild or call 1-888-988-6300 for help or to request a paper application.

If you have other questions or need help, call (734) 424-4100 Ext. 1501

Sincerely,
Sara Simmerman, Director
Dexter Community Schools, Food and Nutrition Services

Your children may qualify for free milk if your household income falls within the limits on this chart.

Total Family Size	Annual	Monthly	Twice Per Month	Every 2 Weeks	Weekly
1	$14,079	$1,174	$587	$542	$271
2	18,941	1,579	790	729	365
3	23,803	1,984	992	916	458
4	28,665	2,389	1,195	1,103	552
5	33,527	2,794	1,397	1,290	645
6	38,389	3,200	1,600	1,477	739
7	43,251	3,605	1,803	1,664	832
8	48,113	4,010	2,005	1,851	926
*For each additional family member add:	4,862*	406*	203*	187*	94*

If you are applying for a FOSTER CHILD, follow these instructions:
Part 1: Check the box and list the child's personal use monthly income, if any.
Part 2: Skip this part.
Part 3: Use a separate application for each foster child. List the child's name , school, and grade.
Part 4: Skip this part.
Part 5: Sign and date the form. A social security number is not necessary.
Part 6: Answer this question if you choose to.
Part 7: Answer this question if you choose to.

[If you are applying for a homeless, migrant, or runaway child, check the appropriate box and contact your Homeless Liaison or Migrant Coordinator.] Fill out application by following instructions for ALL OTHER HOUSEHOLDS.

If your entire household receives Food Assistance Programs (FAP), Family Independence Program (FIP), or Food Distribution Program on Indian Reservations (FDPIR), follow these instructions:
Part 1: Skip this part.
Part 2: Skip this part.
Part 3: If the student is new to the district/school check "Yes." List student(s) name, school, grade, check "Yes," and list a FAP, FIP or FDPIR case number.
Part 4: Skip this part.
Part 5: Sign and date the form. A social security number is not necessary.
Part 7: Answer this question if you choose to.

ALL OTHER HOUSEHOLDS, including WIC households, follow these instructions:
Part 1: Skip this part.
Part 2: Check the appropriate box, if any.
Part 3: If the student is new to the district/school check "Yes." List student(s) name, school, grade.
Part 4: Follow these instructions to report total household income from last month.
Column 1 - Name:

• List the first and last name of each person living in your household, related or not (such as grandparents, other relative, or friends). You must include yourself and all children living with you. Be sure to include all students listed in Part 3. Attach another sheet of paper if you need to.

Column 2 - Gross Income

• Next to each person's first and last name, list each type of income received last month. Next to the amount, circle how often the person got it (weekly, every other week, twice a month, or monthly).

-Earnings from work: List the gross income each person earned from work. This is not the same as take-home pay. Gross income is the amount earned before taxes and other deductions. Net income should be ONLY be reported for self-owned business, farm or rental income.
-All other income: List the amount each person got from welfare, child support, and alimony in the second column. List the amount each person got last month from pensions, retirement, Social Security in the third column. List all other Income sources in the fourth column. All other income includes Worker's Compensation, unemployment, strike benefits, Supplemental Security Income (SSI), Veteran's benefits (VA benefits), disability benefits, regular contributions from people who do not live in your household, and ANY OTHER INCOME.
-If the person does not have any income, circle "$0" in the last column.

Part 5: An adult household member must sign and date the form, and list a social security number or check the box 'I do not have a social security number.".
Part 6: Skip this part
Part 7: Answer this question if you choose to.
Use link below to go to milk application: