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BREADCRUMB

Fee Waiver Application

Download and complete the fee waiver application for consideration

Submissions may be accepted in-person or emailed, as an attachment, to:

Please also submit your 1040 tax form from the previous year's tax return.

Fee Waiver Information

Lyons Township High School has adopted a school policy to provide for a waiver of fees and free lunch. In order to be eligible for these services:

  • Documentation must be submitted indicating that your household income falls within the Federal Income Guidelines (see chart below).
  • In order to apply for a fee waiver or to participate in the free lunch program, please complete one on-line or hard-copy application per household each school year.
  • If you are applying to have your student’s school fees waived, you will also need to provide proof of income from the previous year’s Federal Tax return (1040).
  • If your employment status has changed since filing, you are able to complete the form- but we may request further documentation to verify your eligibility status. Examples of supporting documentation may include a current pay stub, IDES benefits statement, notice of termination, SSI benefit statement, etc. Failure to provide documentation will delay the verification process.
  • If you received direct-certification for an approved fee waiver, you do not need to fill out this application. Direct-certification letters were mailed to families indicating eligibility in July/August 2024.

FEE WAIVER ELIGIBILITY GUIDELINES 2024-25

Household Size

Annual

Monthly

Twice Per Month

Every Two Weeks

Weekly

1

19,578

1,632

816

753

377

2

26,572

2,215

1.108

1,022

511

3

33,566

2,798

1,399

1,291

646

4

40,560

3,380

1,690

1,560

780

5

47,544

3,963

1,982

1,829

915

6

54,548

4,546

2,273

2,098

1,049

7

61,542

5,129

2,565

2,367

1,184

8

68,536

5,712

2,856

2,636

1,318

For each additional family member, add

6,994

583

292

269

135

*Income is defined as any monies earned before any deductions such as income taxes, social security taxes, insurance premiums, charitable contributions and bonds. It includes the following (1) monetary compensation for services including wages, salary commissions, or fees; (2) net income from non-farm self-employment; (3) net income from farm self- employment; (4) social security; (5) dividends or interest on savings or bonds or income from estates or trusts; (6) net rental income; (7) public assistance or welfare payments; (8) unemployment compensation; (9) government civilian employee or military retirement or pensions or veteran payments; (10) private pensions or annuities; (11) alimony or child support payments; (12) regular contributions from persons not living in the household; (13) net royalties; and (14) other cash income. Other cash income would include cash amounts received or withdrawn from any source including savings, investments, trust accounts, and other resources which would be available to pay the price of a student’s fees or meal.