Page 161 - E-Rate 2020-21 Workbook

SNAP SHOT (Point in time count) ‐ NSLP INFORMATION for E‐rate FY 2020‐21

District:
City, State
BEN:

The following data is based on enrollment as of ___________________.
(date)
I certify that only those students who meet the Income Eligibility Guidelines of the National
School Lunch Program are included in the free/reduced lunch count below.

School Site Address Entity # Function

Complete the appropriate section below ‐ only complete 1 section:
1 Students attending this site for a full day:
Total: (total number of students that attend the school)
# F/R: (number of students eligible for free/reduced lunch)
Low income %
OR
2 Students Attending this site for a portion of the day:
Total: (total number of students that attend the site for a portion of the day)
# F/R: (number of students eligible for free/reduced lunch)
Low income %

Peak number of students attending this site:
Total: (highest number of students that attend this school on a part‐time
basis at any point during the school day)

Signature Date

Printed Name of Authorized Person Title