volume 16, number 8 cincinnatus central school district ... · volume 16, number 8 cincinnatus...

The Lion’s RoarVolume 16, Number 8 Cincinnatus Central School District Newsletter August/September 2015

Back to School

August 26th, 2015Who's invited? All CCS students & their families• UPK-6: 5:30pm-6:15pm• 7-12: 6:15pm-7:00pm• 7th Grade Orientation begins at 7 in

the Wilbur Auditorium

Where? School Gymnasium

What? Schoolsupplygiveaway,raffles,music,&ice cream!

The Ice Cream Social is sponsored by Cincinnatus Central School and local community organizations.

Welcome

Back!

Welcome Back!

Attention all incoming 7th Graders:

Be sure to mark your calendars for 7th Grade Orientation.

Please plan on joining us August 26th at 7:00PM in the Wilbur Auditorium to ease

the transition into 7th Grade. Have a great summer and we hope to see you then!

Fall Tips:Freshmen/Sophomores

Join clubs and activities. Keep in contact with teachers, counselors, and activity advisors who you connect. with. They can write letters

of recommendation later. Talk about saving for college with your family. Volunteer – it’s a great experience! Begin to think about a college choice. Remember that you have time to explore what you want in a college. Challenge yourself with difficult courses. Sophomores – take the PLAN test. This will introduce you to standardized testing and also provide you with

an interest inventory.

Juniors Explore financial aid options and college planning with your family. Take the most challenging courses you can. Admission offices look for challenging coursework. Research prospective colleges. Continue to stay active in clubs, activities, and volunteer work. Think about which teachers, counselors, or advisors might you want a letter of recommendation. Keep track of your activities and accomplishments for your resume/activity sheet. Sign-up for the PSAT, which will help prepare you for college entrance exams, like the SAT.

Seniors Request applications and brochures from your target colleges/universities. Attend college fairs and speak to campus representatives. Remember to check in Guidance for the many

different colleges that come to Cincinnatus High School! Take the SAT and/or ACT in the fall, again or if you haven’t already. Schedule interviews with prospective colleges. Practice your interview skills before heading to the actual

interview. Continue to visit any prospective colleges. Take honors or advanced classes. Challenging courses show that you may be more prepared for challenging

college coursework. Set up a budget for college and application costs. Get your applications in order by creating files for target schools. Make a list of application requirements

(essays, transcripts, recommendations, etc.) and deadlines for each. Request letters of recommendation from teachers, counselors, coaches, and employers at least three weeks

before you need them. Provide them with a resume. Thank the recommender afterwards. Work on college application essays. Look for part-time jobs, internships, and volunteer work.

Stop in the see Mrs. Carey if you have any questions.

From the High School Guidance Counselor:

Cheese Making Presentation offered by the Taylor Historical Society

Taylor Historical Society is pleased to present a program of historical and current interest. On Monday, September 21, Larry Preston of Cooperstown will share his expertise and love of cheese making with a description and hands-on demonstration of the process. Cheese-making was, until the 19th century, a home craft. Combining his years of experience in the industry with his interest in food science, Mr. Preston’s presentation will show how each of us can be a home cheese maker with minimal equipment and effort. If you’re like me and have tried but failed at this culinary treat, he assures us his is a can’t fail method. The program will begin at 7 pm in the Taylor Town Hall, 3340 State Route 26, and is free and open to the public. It is funded in part with funds from the Decentralization Program, a regrant program of the New York State Council on the Arts with the support of Governor Andrew Cuomo and the New York legislature and administered by CNY Arts.

2015-2016 Bus RoutesParents – Please notice that we use a “Route System”. The bus number may change throughout the year but the route

number and animal character will ALWAYS be the same.Route #1 /Whale- County Rt #10, Fultner Rd., County Rt #7, Center Rd., NYS Rt #23 district line to Kinney Rd., NYS Rt #23 from Pitcher Hill Rd. to Lower Cincy four corners, including Baptist Ave

Route #2 /Giraffe- Allen Hill Rd., Cheningo-Solon Pond Rd., Brooks Hill Rd., Elwood Rd., NYS Rt #26 in Taylor from Factory Dr. to Miles Rd. NYS Rt #26 from Union Valley Rd. to Taylor Wesleyan Church.

Route #3 /Butterfly- Landers Corners Rd., Fish Hill Rd, Johnson Rd., NYS Rt #221, Beech Rd., Conrad Rd., Lake Rd., Gee Brook Rd., NYS Routes #26 & 41 to “The Y”. Route #4 /Dinosaur- Webb Rd, Holtmart Rd., Penelope Rd., NYS Rt #41 to Morey Hill Rd., German Rd., County Rt 2 to McFarlane Rd., to Lower Cincinnatus Rd.

Route #5 /Bunny - Cross Rd., Birdlebough Rd., Gramch Rd., County Rt 2 to Temple Rd., Maroney Rd., Hollow Rd., Cross Rd., Burkholder Rd., Pheasant Farm Rd., Brandy Lane., County Rd. 5 to Route 41, Rocky Acres Trailer Park in Willet to Lower Cincinnatus Rd.

Route #6 /Turtle- Rt #12 to district line, Union Valley Rd.,Cook Rd., Oak Hill Rd., Foulds Rd., NYS Rt #26 district line and Cincinnatus Rd., Pitcher Springs Rd., Hakes-Calhoun Rd.

Route #7 /Swan- Kinney Rd., Burdick Hill Rd., NYS Rt #23 between Kostenko-Sutton Rd and Pitcher Hill Rd., Kostenko-Sutton Rd., Pitcher Hill Rd., Deer Path Lane

Route #8 /Bear- Whitney Rd., Suarez Rd., Hawley Woods Rd., Mt. Roderick Rd., Taylor Valley Rd., NYS Rt #26 from Miles Rd. Doran Hill, Kiwanis Rd., Preston Rd., May Rd to Telephone Rd.

Route #9 /Dog- Fox Rd., Dutch Hill Rd. and Spur, Maricle Rd., Stramba Rd., Freetown Crossing Rd., Texas Valley Rd., Williwana Ave., NYS Rt #41 from East Freetown to Knickerbocker Rd., Clark Rd., Stone Rd., Piety Hill., Route 26 to Dave’s Dairy Treat

Route #10 /Camel- Carr Rd., Kemak Rd., Holtmart Rd., NYS Rt #26 district line to Willet four corners and Church St., Lower Cincinnatus Rd.

Route # 12/Monkey – Forshee Rd., Melody Lake Rd., Smith Kingsman Rd, North End Rd, Bentley Gramch Rd., Lum Rd., Baldwins Corners Rd., Piety Rd. , Melody Lake Rd.

Welcome back! Even though we still have a few short weeks left of summer, Student Senate has been busy planning our first events, including the Ice Cream Social. On August 26th, all students and their families are invited to join us. Event time varies by different age group: UPK-6 from 5:30pm-6:15pm and grades 7-12 from 6:15pm-7:00pm. The ICS is held in the Large Gymnasium. We will be giving away school supplies, enjoying ice cream, meeting new teachers, raffling prizes, and having a good time. Hope to see you there! Student Senate will be selling our annual Homecoming t-shirts. Senators will be selling from September 8th (the first day of classes!) until September 22nd. They will be ordered and delivered to wear for the Clash @ C-State homecoming game. We sell these shirts to promote school spirit, to support our soccer teams, and to fund the High School Academic Incentive Trip to an amusement park in June. The shirts are available in sizes youth small to adult XL costing $10.00, while sizes 2XL cost $12.00 and 3XL cost $13.00. Contact a Senator if you are interested! Thank you! - Buster Waltz, Student Senate President

Student Senate: Upcoming Events

Local Alum Look to Provide More Opportunities for YouthsFor the past six months, Crossroads Youth Initiatives, an organization formed by a group of local alumni, has been working to create healthy opportunities for the youth of the Cincinnatus School District and its surrounding areas. As a group, we felt the project that would be nearest and dearest to the hearts of our children would be to establish and maintain an athletic center to be named Crossroads Sports Complex.

About Crossroads Youth InitiativesCrossroads Youth Initiatives is a non-profit corporation created by Juanita Bell Larrabee (’91), Lorrie Tennant Vosburg (’91), Tom Vosburg (’90), Rhonda Guinn Wehner (’84), Bryce Wehner (‘83), and Kristin Cobb Russell (’05). We are committed to strengthening communities by promoting healthy living, nurturing youth development, and fostering social responsibility. After decades of seeing our young men and women succumb to tragedies of suicide, drunk driving deaths and accidents, and drug and alcohol addictions, we were compelled to make a change. Our solution is to provide those opportunities that will evoke change, one life at a time.

We are an extremely soccer-oriented community, yet we have no dedicated soccer facility. Parents in our community transport over 100 children, ages 6 through 18, forming 8, teams to an indoor soccer facility over an hour away - every Saturday, October-April – to participate in an indoor soccer league. These teams have no place to call home. Often times our teams practice in a small local church or in a field where parents can line up cars and shine headlights to create “site lighting”.

The lack of dedicated space reduces participation levels and hinders player development of those who do participate. Likewise, there is no facility in our area for other non-school related sports teams, running/walking tracks or general fitness areas. The closest facility is approximately 30 miles away.

There is an overwhelming need for a sports facility in our area. The construction of a dedicated sports facility will benefit not only these soccer teams and other youth athletic programs, but members of all ages in the community.

Crossroads Sports Complex

Crossroads Sports Complex will be a place of opportunity for building healthy minds, spirits, and bodies. We hope to provide this through athletics, mentoring programs, and other activities that enhance character development within our youth, raise social consciousness, transform lives and deliver lasting personal and social change.

Our hopes for the building itself are to have the following amenities, including, but not limited to:• Soccer Field• Walking/Running Track• Multi-Purpose Gym• Cardio/Weight Room• Men’s and Women’s Locker Rooms• Community Room• Snack Area

Next Steps

To maximize our impact on current efforts, we may seek to collaborate with other non-profit organizations. We will have ambassadors to hold fundraising events in order to build, maintain, operate and enhance our facility. We will have volunteer initiatives, which will provide opportunities for involvement in activities and programs in order to have a greater impact for change.

We graciously accept donations toward this project. Chris Tennant Foundation has donated $2,000. The money given to Crossroads was raised through their annual “Chris’ 5K and 10K Run” and the annual “Dare to be Different Soccer Tournament”.

For more information…For more information on how to donate, the status of the project, or any other questions you may have, you can:

• Visit our website www.crossroadssportscomplex.org. • Email us at [email protected]• Call us!

o Juanita Bell Larrabee 607.745.5534o Kristin Cobb Russell 607.345.4160o Lorrie Tennant Vosburg/Tom Vosburg 607.345.0698o Rhonda Guinn Wehner/Bryce Wehner 607.745.5729

Cincinnatus Central School 2015-2016 School Supply List

To assist our students to be better prepared for the first week of school, we are asking parents to supply the following items for their elementary children who will be attending the designated grade levels. UPK

(5) boxes crayons – 24 count (1) box Crayola washable markers (1) box low odor Expo markers (optional) (1) play-doh (5 pack)- (optional) (1) box of large crayons – 8 count (8) large, white glue sticks (1) plastic 2 pocket folder (1) box of tissues (optional) (1) complete set of clothes to be kept @ school

(labeled) (1) container of baby wipes (1) blanket (crib size) (Labeled) Velcro sneakers for P.E. and recess (Please no

sneakers that need to be tied unless your child is able to tie their sneakers independently)

(1) regular size backpack…no wheels Kindergarten

(1) box Crayola washable markers (6) large, white glue sticks (3) boxes of Crayola crayons (2) fat “My First Pencils” (1) pkg of #2 pencils (1) box tissues (1) pkg dry erase markers (1) Boys box Ziplock gallon size bags (1) Girls box Ziplock quart size bags (1) container of baby wipes (1) crib size blanket (labeled) NO pillows, or stuffed

animals (1) paint smock/old t-shirt (labeled) (1) complete change of clothes (please label clothes

with child’s name) Velcro sneakers. Tying shoes is a skill that most

kindergarten children do not yet have. If your child is unable to tie his/her own laces, please have your child wear Velcro sneakers. He/she will need sneakers for P.E. days and to play on the recess equipment.

(1) large size backpack….no wheels

Grade 1

(24) #2 pencils (2) large erasers (the 2” pink ones) (1) pair of scissors (Fiskars work well) (3-4) boxes of 24 count crayons (1) 8 oz. bottles of glue (8) small glue sticks (1) plastic pencil box for desk (1) plastic pocket folder (1) 4 pk of Black Expo Dry Erase Markers (chisel tip) (1) Boys box Ziploc sandwich or gallon bags (1) Girls container of baby wipes

Grade 2

(24) #2 pencils (recommend Ticonderoga) Erasers (1) scissors (1) 8 oz. Elmer’s white glue (2) large or (4) small glue sticks (1) pencil box or case (1) colored pencils (Crayola work the best) (1) box of crayons (Crayola work the best) (1) small hand held pencil sharpener (1) regular size backpack….no wheels

Grade 3

(2) pkg pencils (pre-sharpened if possible) (3) box of 24 count crayons (Crayola work best) (4) rectangular pink erasers (No pencil top erasers) (1) pkg thin crayola markers (4) glue sticks (3) self-stick notes 3” x 3” (any color) (1) pkg of colored pencils (Crayola 12 ct work best) (1) multiplication flash cards (to be kept at home for

studying) (1) division flash cards (to be kept at home for

studying) (2) Black Expo dry erase markers (2) marbled journal (NO spirals) (1) box Ziploc bags (last name starts with A-M

sandwich size, N-Z gallon size) (1) 100% white cotton t-shirt that fits you, it doesn’t

need to be new.

Grade 4 (4) folders 1 of each color listed: red, blue, green,

yellow (2) composition notebooks (no spirals) (1) packages of loose leaf paper (4) dozen pencils Erasers Crayons (48 count max) Colored pencils (no markers) (1) sharp full size scissors White glue stick (3) expo dry erase markers (black skinny) (2) large box of tissues (1) package multiplication flash cards (dollar store) NO spiral notebooks, Trapper Keepers or Binders,

hand held pencil sharpeners Grade 5

(5) 2 pocket folders without fasteners: 1 of each color listed: red, purple, yellow, blue and one of your choice

(1) Composition book (1) pkg of loose leaf paper (1) index cards Crayons Scissors pencils (1) box of tissues

Grade 6 (6) Folders 1 of each color listed: red, orange, green,

blue, yellow, purple (1) Folder of your choice (2) composition notebooks for ELA and Science (3) pkg of standard notebook paper (2) Index cards (3 x 5 with lines) (3) dz #2 pencils Erasers (Cap erasers for pencils work best) Colored pencils (3) Highlighters (yellow) (2) Glue sticks (1) large box of tissues

No Trapper Keepers and/or Binders for any

grade level. NO backpacks with wheels Some supplies may need to be replenished

throughout the year.

Middle School Music Supply Lists 5th/6th/7th grade music:

1-inch 3-ring binder (1) pencil (or two) to leave in the music classroom

7th/8th grade chorus:

two-pocket folder for handouts (1) a pencil (or two) to leave in the music/chorus

classroom

French

French 8 & French 1 Supply list 2 inch binder with loose leaf paper

Dividers (4) Composition Notebook Pens (blue/ black only)/ pencils 1 highlighter (any color) 2 packages white index cards

(Music folders will be provided.)















classroom

French


















classroom

French




Attachment VIICincinnatus Central School District

Letter to Parents for School Meal Programs

Dear Parent/Guardian:

Children need healthy meals to learn. Cincinnatus Central School District offers healthy meals every school day. Breakfast costs $1.20; Elementary lunch costs $1.85; High School. lunch costs $1.95. Your children may qualify for free meals or for reduced price meals. Reduced price is $0.25 for breakfast and $0.25 for lunch.

1. DO I NEED TO FILL OUT AN APPLICATION FOR EACH CHILD? No. Complete the application to apply for free or reduced price meals. Use one Free and Reduced Price School Meals 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: Greg Bilodeau, Cincinnatus Central School, 607-863-3200.

2. WHO CAN GET FREE MEALS? All children in households receiving benefits from SNAP, the Food Distribution Program on Indian Reservations or TANF, can get free meals regardless of your income. Also, your children can get free meals if your household’s gross income is within the free limits on the Federal Income Eligibility Guidelines.

3. Can foster children get free meals? Yes, foster children that are under the legal responsibility of a foster care agency or court, are eligible for free meals. Any foster child in the household is eligible for free meals regardless of income.

4. CAN HOMELESS, RUNAWAY, AND MIGRANT CHILDREN GET FREE MEALS? Yes, children who meet the definition of homeless, runaway, or migrant qualify for free meals. If you haven’t been told your children will get free meals, please call or e-mail to Steve Hubbard, 607-863-3200, [email protected] to see if they qualify.

5. WHO CAN GET REDUCED PRICE MEALS? Your children can get low cost meals if your household income is within the reduced price limits on the Federal Eligibility Income Chart, shown on this application.

6. SHOULD I FILL OUT AN APPLICATION IF I RECEIVED A LETTER THIS SCHOOL YEAR SAYING MY CHILDREN ARE APPROVED FOR FREE MEALS? Please read the letter you got carefully and follow the instructions. Call the school at it 607-836-3619 if you have questions.

7. MY CHILD’S APPLICATION WAS APPROVED LAST YEAR. DO I NEED TO FILL OUT ANOTHER ONE? Yes. Your child’s application is only good for that school year and for the first 30 days of this school year. You must send in a new application unless the school told you that your child is eligible for the new school year.

8. I GET WIC. CAN MY CHILD(REN) GET FREE MEALS? Children in households participating in WIC may be eligible for free or reduced price meals. Please fill out a FREE/REDUCED PRICE MEAL application.

9. WILL THE INFORMATION I GIVE BE CHECKED? Yes and we may also ask you to send written proof.10. IF I DON’T QUALIFY NOW, MAY I APPLY LATER? Yes, you may apply at any time during the school year. For

example, children with a parent or guardian who becomes unemployed may become eligible for free and reduced price meals if the household income drops below the income limit.

11. 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: Troy Bilodeau, 2809 Cincinnatus Road, Cincinnatus NY 13040. 607-863-3200

12. 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 U.S. citizens to qualify for free or reduced price meals.

13. 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 relatives, or friends) who share income and expenses. You must include yourself and all children living with you. If you live with other people who are economically independent (for example, people who you do not support, who do not share income with you or your children, and who pay a pro-rated share of expenses), do not include them.

14. WHAT IF MY INCOME IS NOT ALWAYS THE SAME? List the amount that you normally receive. For example, if you normally make $1000 each month, but you missed some work last month and only made $900, put down that you made $1000 per month. If you normally get overtime, include it, but do not include it if you only work overtime sometimes. If you have lost a job or had your hours or wages reduced, use your current income.

15. WE ARE IN THE MILITARY. DO WE INCLUDE OUR HOUSING ALLOWANCE AS INCOME? If you get an off-base housing allowance, it must be included as income. However, if your housing is part of the Military Housing Privatization Initiative, do not include your housing allowance as income.

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2015-2016 INCOME ELIGIBILITY GUIDELINESFOR FREE AND REDUCED PRICE MEALS OR FREE MILK

REDUCED PRICE ELIGIBILITY INCOME CHART

TotalFamily Size Annual Monthly Twice per Month Every Two Weeks Weekly

1 $ 21,775 $ 1,815 $ 908 $ 838 $ 4192 $ 29,471 $ 2,456 $ 1,228 $ 1,134 $ 5673 $ 37,167 $ 3,098 $ 1,549 $ 1,430 $ 7154 $ 44,863 $ 3,739 $ 1,870 $ 1,726 $ 8635 $ 52,559 $ 4,380 $ 2,190 $ 2,022 $ 1,0116 $ 60,255 $ 5,022 $ 2,511 $ 2,318 $ 1,1597 $ 67,951 $ 5,663 $ 2,832 $ 2,614 $ 1,3078 $ 75,647 $ 6,304 $ 3,152 $ 2,910 $ 1,455

*Each Add’l person add $ 7,696 $ 642 $ 321 $ 296 $ 148

How to Apply: To get free or reduced price meals for your children you may submit an Eligibility Letter for Free Meals received from the NYS Education Department, OR carefully complete one application for your household and return it to the designated office. If you now receive SNAP, Temporary Assistance to Needy Families (TANF) for any children, or participate in the Food Distribution Program on Indian Reservations (FDPIR), the application must include the children's names, the household food stamp, TANF or FDPIR case number and the signature of an adult household member. All children should be listed on the same application. If you do not list a food stamp, TANF or FDPIR case number for all the children for whom you are applying, the application must include the names of everyone in the household, the amount of income each household member, and how often it is received and where it comes from. It must include the signature of an adult household member and the last four digits of that adult's social security number, or check the box if the adult does not have a social security number. An application that is not complete cannot be approved. Contact your local Department of Social Services for your food stamp or TANF case number or complete the income portion of the application.

Reporting Changes: The benefits that you are approved for at the time of application are effective for the entire school year. You no longer need to report changes for an increase in income or decrease in household size, or if you no longer receive SNAP.

Income Exclusions: The value of any child care provided or arranged, or any amount received as payment for such child care or reimbursement for costs incurred for such care under the Child Care Development (Block Grant) Fund should not be considered as income for this program.

Nondiscrimination Statement: This explains what to do if you believe you have been treated unfairly.

The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and whereapplicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form (PDF), found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completedcomplaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected].

Individuals who are deaf, hard of hearing or have speech disabilities and you wish to file either an EEO or program complaintplease contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).

USDA is an equal opportunity employer. 2

16. MY SPOUSE IS DEPLOYED TO A COMBAT ZONE. IS HER COMBAT PAY COUNTED AS INCOME? No, if the combat pay is received in addition to her basic pay because of her deployment and it wasn’t received before she was deployed, combat pay is not counted as income. Contact your school for more information.

17. MY FAMILY NEEDS MORE HELP. ARE THERE OTHER PROGRAMS WE MIGHT APPLY FOR? To find out how to apply for SNAP or other assistance benefits, contact your local assistance office or call 1-800-342-3009.

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Meal Service to Children With Disabilities: Federal regulations require schools and institutions to serve meals at no extra charge to children with a disability which may restrict their diet. A student with a disability is defined in 7CFR Part 15b.3 of Federal regulations, as one who has a physical or mental impairment which substantially limits one or more major life activities. Major life activities are defined to include functions such as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working. You must request the special meals from the school and provide the school with medical certification from a medical doctor. If you believe your child needs substitutions because of a disability, please get in touch with us for further information, as there is specific information that the medical certification must contain.

Confidentiality: The United States Department of Agriculture has approved the release of students names and eligibility status, without parent/guardian consent, to persons directly connected with the administration or enforcement of federal education programs such as Title I and the National Assessment of Educational Progress (NAEP), which are United States Department of Education programs used to determine areas such as the allocation of funds to schools, to evaluate socioeconomic status of the school's attendance area, and to assess educational progress. Information may also be released to State health or State education programs administered by the State agency or local education agency, provided the State or local education agency administers the program, and federal State or local nutrition programs similar to the National School Lunch Program. Additionally, all information contained in the free and reduced price application may be released to persons directly connected with the administration or enforcement of programs authorized under the National School Lunch Act (NSLA) or Child Nutrition Act (CNA); including the National School Lunch and School Breakfast Programs, the Special Milk Program, the Child and Adult Care Food Program, Summer Food Service Program and the Special Supplemental Nutrition Program for Women Infants and Children (WIC); the Comptroller General of the United States for audit purposes, and federal, State or local law enforcement officials investigating alleged violation of the programs under the NSLA or CNA.

Reapplication: You may apply for benefits any time during the school year. Also, if you are not eligible now, but during the school year become unemployed, have a decrease in household income, or an increase in family size you may request and complete an application at that time.

The disclosure of eligibility information not specifically authorized by the NSLA requires a written consent statement from the parent/guardian. We will let you know when your application is approved or denied.

Sincerely,

Gregory Bilodeau.School Lunch Manager

Cincinnatus Breakfast Menu

Breakfast $1.20 for all grade levels

Monday: Whole Grain Pancake w/ Sausage on Stick

Tuesday: Whole Grain French Toast Sticks w/ Syrup

Wednesday: Whole Grain Oatmeal Breakfast Bun

Thursday: Assorted Breakfast Pizza

Friday: Whole Grain Cinnamon Swirl Roll

Cereal and muffins available daily as a choice. All meals are served with choice of juice, fruit, and milk.

Cere$1al is available daily as a c

Breakfast Requirements NSBP

Grades: K-12 Calories: 450-550 (weekly average) Sodium: < 540mg Fruits: 5cups/week (1c. minimum per day) Grains: 9oz. whole grains minimum Saturated Fats: 0 grams/serving

Date Withdrew__________ Attachment Va F ____R _____D_____

Cincinnatus Central School District 2015-2016 Application for Free and Reduced Price School Meals/Milk

To apply for free and reduced price meals for your children, read the instructions on the back, complete only one form for your household, sign your name and return it to your child(ren) school. Call 607-863-3200, if you need help. Additional names may be listed on a separate paper.

1. List all children in your household who attend school: Student Name School Grade/Teacher Foster Child Homeless

Migrant, Runaway

2. SNAP/TANF/FDPIR Benefits:If anyone in your household receives either SNAP, TANF or FDPIR benefits, list their name and CASE # here. Skip to Part 4, and sign the application.

Name:______________________________________ CASE #__________________________________

3. Report all income for ALL Household Members (Skip this step if you answered ‘yes’ to step 2)

All Household Members (including yourself and all children that have income).List all Household members not listed in Step 1 (including yourself) even if they do not receive income. For each Household Member listed, if they do receive income, report total income for each source in whole dollars only. If they do not receive income from any other source, write ‘0’. If you enter ‘0’ or leave any fields blank, you are certifying (promising) that there is no income to report.

Name of household member Earnings from work before deductionsAmount / How Often

Child Support, Alimony

Amount / How Often

Pensions, RetirementPaymentsAmount / How Often

Other Income, Social Security Amount / How Often

No Income

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

Total Household Members (Children and Adults)

4. Signature: An adult household member must sign this application and provide the last four digits of their Social Security Number (SS#), or mark the “I do not have a SS# box” before it can be approved. I certify (promise) that all of the information on this application is true and that all income is reported. I understand that the information is being given so the school

will get federal funds; the school officials may verify the information and if I purposely give false information, I may be prosecuted under applicable State and federal laws, and my children may lose meal benefits.Signature:__________________________________________________ Date: ___________________Email Address: ______________________________________________ Last Four Digits of Social Security Number: XXX-XX- __ __ __ __

Home Phone: _________________ Work Phone:_____________________ Home Address:____________________________________________

DO NOT WRITE BELOW THIS LINE – FOR SCHOOL USE ONLYAnnual Income Conversion (Only convert when multiple income frequencies are reported on application)

Weekly X 52; Every Two Weeks (bi-weekly) X 26; Twice Per Month X 24; Monthly X 12

SNAP/TANF/Foster Income Household: Total Household Income/How Often: _________________/________________ Household Size: _________________ Free Meals Reduced Price Meals Denied/Paid Signature of Reviewing Official________________________________________________________ Date Notice Sent:________________

I do not have a SS#

APPLICATION INSTRUCTIONS

To apply for free and reduced price meals, submit a Free Meals/Milk Eligibility Letter received from the Office of Temporary and Disability Assistance OR complete only one application for your household using the instructions. Sign the application and return the application to Greg Bilodeau. If you have afoster child in your household, you may include them on your application. A separate application is no longer needed. Call the school if you need help: 607-863-3200. Ensure that all information is provided. Failure to do so may result in denial of benefits for your child or unnecessary delay in approving your application.

PART 1 ALL HOUSEHOLDS MUST COMPLETE STUDENT INFORMATION. DO NOT FILL OUT MORE THAN ONE APPLICATION FOR YOUR HOUSEHOLD.

(1) Print the names of the children, including foster children, for whom you are applying on one application. (2) List their grade and school.(3) Check the box to indicate a foster child living in your household, or if you believe any child meets the description for homeless,

migrant, runaway (a school staff will confirm this eligibility).

PART 2 HOUSEHOLDS GETTING FOOD STAMPS, TANF OR FDPIR SHOULD COMPLETE PART 2 AND SIGN PART 4. (1) List a current Food Stamp, TANF or FDPIR (Food Distribution Program on Indian Reservations) case number of anyone living in your household.

Do not use the 16-digit number on your benefit card. The case number is provided on your benefit letter.(2) An adult household member must sign the application in PART 4. SKIP PART 3. Do not list names of household members or income if you list a

food stamp case number, TANF or FDPIR number.

PART 3 ALL OTHER HOUSEHOLDS MUST COMPLETE THESE PARTS AND ALL OF PART 4.(1) Write the names of everyone in your household, whether or not they get income. Include yourself, the children you are applying for, all other children, your

spouse, grandparents, and other related and unrelated people in your household. Use another piece of paper if you need more space.(2) Write the amount of current income each household member receives, before taxes or anything else is taken out, and indicate where it came from, such

as earnings, welfare, pensions and other income. If the current income was more or less than usual, write that person’s usual income. Specify how often this income amount is received: weekly, every other week (bi-weekly), 2 x per month, monthly. If no income, check the box. The value of any child care provided or arranged, or any amount received as payment for such child care or reimbursement for costs incurred for such care under the Child Care and Development Block Grant, TANF and At Risk Child Care Programs should not be considered as income for this program.

(3) The application must include the last four digits only of the social security number of the adult who signs PART 4 if Part 3 is completed. If the adult does not have a social security number, check the box. If you listed a food stamp, TANF or FDPIR number, a social security number is not needed.

OTHER BENEFITS: Your child may be eligible for benefits such as Medicaid or Children’s Health Insurance Program (CHIP). In order to determine if your child is eligible, program officials need information from your free and reduced price meal application. Your written consent is required before any information may be released. Please refer to the attached parent Disclosure Letter and Consent Statement for information about other benefits.

PRIVACY ACT STATEMENTPrivacy Act Statement: This explains how we will use the information you give us.The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give the information, but if you do not, we cannot approve your child for free or reduced price meals. You must include the last four digits of the social security number of the adult household member who signs the application. The last four digits of the social security number are not required when you apply on behalf of a foster child or you list a Food Stamp, Temporary Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian Reservations (FDPIR) case number or other FDPIR identifier for your child or when you indicate that the adult household member signing the application does not have a social security number. We will use your information to determine if your child is eligible for free or reduced price meals, and for administration and enforcement of the lunch and breakfast programs. We MAY share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for their programs, auditors for program reviews, and law enforcement officials to help them look into violations of program rules.

DISCRIMINATION COMPLAINTSThe U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form (PDF), found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected] who are deaf, hard of hearing or have speech disabilities and you wish to file either an EEO or program complaint please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).USDA is an equal opportunity employer.

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Cincinnatus Central School2809 Cincinnatus RoadCincinnatus, NY 13040Telephone: (607) 863-3200 www.cc.cnyric.org

District Resident or Postal Patron

Bulk RateU.S. Postage

PAIDCincinnatus, NY

13040Permit No. 4

Cincinnatus Central School District: A community striving to meet all students’ needs, awaken their minds and touch their hearts.

Cincinnatus Central School DistrictBoard of Education

Margaret Peri: President Lisa Hull: Vice President

Peter Bush Richard DodgeJessica Latta

Nathan Metzler Charles Winters

The Cincinnatus Central School District works to convey information to students, parents, businesses and community members in a variety of ways. One major source of information is the school district website which can be found on the Internet at www.cc.cnyric.org.

Another method of communication within the district is this publication, The Lion's Roar, which is produced by students enrolled in the high school course, Computer Publications. The newsletter is published entirely by students and the printing completed by OCM BOCES. In addition to the website and newsletter, there are also a variety of classroom newsletters, grade reports and parent memos sent home via students and/or mail.

The purpose of these communication tools is to share information about our district, to showcase student, faculty, and staff endeavors, as well as provide resources for students, parents, community members and faculty. We welcome input from all of the school community in making this communication more efficient and more valuable. In utilizing new technologies the district may want to post children's work or pictures on our website and/or in district publications. This could include photos, writings, artwork, or videos recorded for our in-house TV station. Parents or guardians who do NOT wish to have their child’s name and/or photograph on the district web site, in student video productions, in the newsletter or other publications, must notify the district in writing of their wishes. This must be done each school year. Please send any related correspondence to:

Cincinnatus Central SchoolComputer Department2809 Cincinnatus Road

Cincinnatus, NY 13040 orEmail: [email protected]

Notice RegardingDistrict Communications

volume 16, number 8 cincinnatus central school district ... · volume 16, number 8 cincinnatus...

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