Forms
Fee Waiver Application
East Maine School District 63 provides every student with equal educational services regardless of his or her financial means. The District waives fees for students who meet certain eligibility criteria. A student qualifies for a fee waiver if the family’s income is below the designated income to receive free lunches, the student or family is receiving public aid, or the family is faced with an extenuating circumstance, such as illness or unemployment.
Return the completed application to:
East Maine School District 63
10150 Dee Road, Des Plaines, IL 60016
Attn: Dee Jung or email at ap@emsd63.org
Free & Reduced Lunch Application
Children need healthy meals to learn. East Maine School District 63 offers healthy meals every school day. Breakfast costs $1.65; lunch costs $2.85. Your children may qualify for free meals or for reduced-price meals. The reduced price is $.30 for breakfast and $.40 for lunch. To apply for free or reduced-price meals, use the Household Eligibility Application: see below. We cannot approve an application that is not complete, so be sure to fill out all the required information.
Important Notification to Families Directly Approved for Reduced Price meals
Return the completed application to:
East Maine School District 63
10150 Dee Road, Des Plaines, IL 60016
Attn: Mayra Jaimes Antunez or email at NSLP@emsd63.org
Health Forms
Certificado de Examen de Salud del Nino
Childhood Lead Risk Assessment Questionnaire for Children - Pre-K and K
Cuestionario de Asesoramiento Infantil de Riesgo por el Plomo
Food Allergy Action Plan - Spanish
Formulario Comprobante Del Examen Dental Escolar
Religious Exemption Guidelines and Form
School Medication Authorization Form - Parents and Physician