CSA Elementary Application 17-18

 
Page 1 of 1
 
 Application Information 

 
1.
*
 
   
2.
*
 
   
3.
*
 
   
4.
*
(For current BCSC students, enter "N/A" if you do not have an ID#)

Incoming Kindergarten applicants enter "N/A"
 
   
5.
*
  Select Date
mm/dd/yyyy
   
6.
*
 
   
7.
*
(What school are you attending this year?)
 
*
(What school are you attending this year?)












    
   
8.
*
 
*



   
9.
 
   
10.
 
  
  
  
  
   
11.
*
 
   
12.
*
 
   
13.
*
 
   
14.
*
 
   
15.
*
 
   
16.
*
 
   
17.
*
 
   
18.
*
(Enter N/A if you do not have an e-mail address)
 
   
19.
*
(Enter N/A if you do not have an e-mail address)
 
   
20.
Please use the following guidelines for qualifying for free/reduced lunch.

Reduced Lunch
Household Yearly Income Requirements
Family of 2- $29,637
Family of 3- $37,296
Family of 4- $44,955
Family of 5- $52,615

Free Lunch
Household Yearly Income Requirements
Family of 2- $20,826
Family of 3- $26,208
Family of 4- $31,590
Family of 5- $36,972
 
   
21.
*
 
*


   
22.
 
   
23.
 
   
24.
YOU MUST ALSO COMPLETE AN APPLICATION FOR EACH INDIVIDUAL SIBLING
 
   
25.
 
   
26.
If you have any questions, please feel free to contact the following school administrators:

CSA Lincoln Elementary - Brett Findley (findleyb@bcsc.k12.in.us) 812-376-4447

CSA Fodrea Elementary - Lyndsey Linneweber (linneweberl@bcsc.k12.in.us)812-376-4321

CSA Central Middle School - Randy Gratz(gratzr@bcsc.k12.in.us) 812-376-4286

CSA New Tech High School- Mike Reed (reedm@bcsc.k12.in.us) 812-376-4595
 
   
 
 
 
 Done  Save  Cancel