Fee Waiver Selection Update 2023-2024 - Dubuque Community Schools

Fee Waiver Selection

To determine eligibility for a fee waiver, families must waive confidentiality of household income eligibility status received from direct certification, a completed free and reduced-price meals application or income verification. Waivable fees include: district textbook, cap and gown, instrument rental, CNA placement test and background check, and driver education (one time only).

Fee Waiver Selection*

YES, MY FAMILY WISHES TO APPLY FOR A FEE WAIVER.
Selecting this option means school officials may use my child(ren)'s household income eligibility status to determine eligibility for waivable fees.

YES, MY FAMILY WISHES TO APPLY FOR A FEE WAIVER.

Household Information

Please list ALL STUDENTS in your household.

Student 1 Name*

First Last

Student 1 School*

Student 1 Grade*

Do you have a second student?*

Yes

Student 2 Name*

First Last

Student 2 School*

Student 2 Grade*

Do you have a third student?*

Yes

Student 3 Name*

First Last

Student 3 School*

Student 3 Grade*

Do you have a fourth student?*

Yes

Student 4 Name*

First Last

Student 4 School*

Student 4 Grade*

Do you have a fifth student?*

Yes

Student 5 Name*

First Last

Student 5 School*

Student 5 Grade*

Do you have a sixth student?*

Yes

Student 6 Name*

First Last

Student 6 School*

Student 6 Grade*

Do you have a seventh student?*

Yes

Student 7 Name*

First Last

Student 7 School*

Student 7 Grade*

Confirmation and Acknowledgement

Parent/Guardian Name*

First Last

Phone*

Address*

Street Address Address Line 2 City ZIP Code

Acknowledgement*

By clicking "I agree" below, I certify that I am the parent/guardian of the student(s) for whom the fee waiver application is made. I agree to the terms of the option I selected and understand that, if approved, my household income eligibility status will be used to determine fee waiver eligibility.

I agree