Sample Public Release
Camps and Enrolled Programs
The_______________________________________________________________announces
(Name of Sponsor)
the sponsorship of the Summer Food Service Program. In accordance with Federal law and
US Department of Agriculture (USDA) policy, this Institution is prohibited from
discriminating on the basis of race, color, national origin, sex, age or disability.
To file a complaint alleging discrimination, write USDA, Director, Office of Civil Rights,
1400 Independence Avenue, SW, Washington, DC, 20250-9410, or call, toll free, (866)
632-9992 (Voice). Individuals who are deaf, hard of hearing or have speech disabilities
may contact USDA through the Federal Relay at (800) 877-8339 or (800) 845-6136
(Spanish). USDA is an equal opportunity provider and employer.
If a child is a member of a food stamp household or an AFDC assistance unit, the child is
automatically eligible to receive free program meal benefits, subject to completion of the
free/reduced application form.
----------------------------------------------------------Eligibility for free and reduced price meal reimbursement is based on the following income
scales:
GUIDELINES TO DETERMINE STUDENT ELIGIBILITY
2011
SUMMER FOOD SERVICE PROGRAM
Annual Family Income Before Deductions
Federal Income Chart For School Year July 1, 2010 – June 30, 2011
Household Size
Yearly
Monthly
1
$20,036
$1,670
2
26,955
2,247
3
33,874
2,823
4
40,793
3,400
5
47,712
3,976
6
54,631
4,553
7
61,550
5,130
8
68,469
5,706
Each additional
6,919
577
G – 30.1