National School Lunch Program Data Request Form


The following information provides the National School Lunch program data for:
(name)__________________School District as of (date)________________.


Number of students eligible in the National School Lunch Program for free or reduced lunch [Or participating if eligibility numbers are not available.] ____________

Total Number of K-12 students in the school district._____________




Name: ___________________________________________

Title: ___________________________________________

Signature: ___________________________________________


Note: Please provide the following information on school district letterhead signed by a school district person authorized to provide this information.