www.humanservices.state.pa.us/compass. This is a family application; only one per household need be submitted. As a remi
September 2017 K12 Meal Payment Form The September 2017 K12 Meal Payment Form is on the reverse side of this form and a lunch menu is available for reference on www.collegiumcharter.com . Families sending payments directly into school should complete the form and return it to school with payment as soon as possible, as processing may take up to five days before the payment is available for your child. Please use one form per student and remember to include their name, grade, homeroom teacher, and PIN. A student’s PIN never changes and new students receive their PINs during their first week of school. MySchoolAccount i s the faster, preferred way to fund meal accounts – and there’s no need to complete or return forms! CCS families have access to www.MySchoolAccount.com , a webbased application that’s very easy to use. Families can make an online payment up until midnight from their checking or savings accounts and have deposits made for the very next day into all of their children’s meal accounts. You can see what your child has eaten over the last 30 days, check account balances, move money between your children’s meal accounts, and request an automatic email notification for low account balances. In order to take advantage of this online feature, visit www.MySchoolAccount.com and follow the prompts to create a Parent Account . You will need to know your child’s birth date and student ID (their lunch PIN). It takes less than ten minutes to set up – it really is easy! Student records are updated nightly and all transactions occur over secure connections. If you’ve already set up an account for your child, your login is still valid as it does not change from school year to school year. Families may apply for the Free and Reduced Price School Meal Program at any time during the school year. The Free and Reduced Price School Meals Family Application is available in the Food Service section of the CCS website at www.collegiumcharter.com or from our Main Offices on campus, or you can access the information and apply online at www.humanservices.state.pa.us/compass . T his is a family application; o nly one per household need be submitted. As a reminder, if your child has an allergy to any food product, a doctor’s note must be submitted to the Food Service Department to be kept on file. In accordance with PA Department of Education regulations, please submit an updated doctor’s note at the beginning of each school year. ● Please allow five (5) days for payments sent to school to be posted to your child’s account. ● K3 lunch purchases must be prepaid, do not send cash. Due to the volume of purchases cash cannot be accepted in the K3 lunch lines. ● Payments that come in on a daily basis will not be available for your child as they are not processed by lunchtime. Payment to a student’s account should be prepaid monthly unless this creates a financial hardship for your family. If so, please pay biweekly or weekly, not daily. ● The lunch meal cost for grades K5 is $3.15, grades 68 is $3.25, and grades 912 is $3.40 with increases correlating to larger portions of food. ● Students eligible for free or reduced lunches/breakfasts are only eligible for the mealoftheday or the peanut butter & jelly meal. They may not choose any a la carte items in lieu of the meal. ● Returned checks will incur an additional returned check fee and all future payments to CCS must be paid by cash or money order. ● Students with zero/negative balances may receive alternative meals as indicated in the Meal Payment/Charging Policy . ● If prepaid, milk may be charged to a student’s account. M ilk is $.70 . ● The breakfast meal is $2.00 and it is preferable that students use their meal account for breakfast meals. A K6 student’s account may be used for mealoftheday purchases only, not for a la carte items*. Separate cash and carry a la carte items are available from $.50 to $3.50. Breakfast is available for grades K5 from 7:40am until 8:10am and for grades 612 from 7:05am to 7:25am. If you have any questions, please contact Mr. Mike Ely, our Food Service Manager, at 6109036371 or
[email protected]. *HS students may use their Food Service accounts to make a la carte purchases. Collegium is piloting a new program allowing MS students to make a la carte purchases using their Food Service accounts. MEAL PAYMENT FORM
September 2017 K12 Meal Payment Form Please return this page with payment as soon as possible. To ensure availability, please allow 5 school days for the payment to be posted to your child’s account . For next day availability, use www.MySchoolAccount.com . Alternative lunches may be provided for students with negative account balances, per the CCS M eal Payment/Charging Policy .
Complete this section and remit with payment in a sealed envelope.
S tudent’s Name : G rade :
B uilding Number : ⃣150 ⃣468/486 ⃣500 ⃣515 ⃣535
H omeroom Teacher :
S tudent’s Food Service PIN :
A mount Paid :
D ate Submitted :
Calculate Your Payment* * The dates below are provided solely to assist families in calculating payments. They do not correspond to a day when a child may/may not purchase a meal of the day or milk. Please circle all the days you are ordering L unch With Milk September 5 6 7 8 11 12 13 14 15 18 19 20 21 22 26 27 28 29 Please circle all the days you are ordering B reakfast With Milk September 1 5 6 7 8 11 12 13 14 15 18 19 20 21 22 26 27 28 29 Please circle all the days you are ordering J ust Milk September 5 6 7 8 11 12 13 14 15 18 19 20 21 22 26 27 28 29
Please Calculate the Amount of Money Due: Lunches w/ Milk by Grade/ ** Cost : K 6 = $3.15 7 /8 = $3.25 9 12 = $3.40
Number of Lunches w/ Milk _____________________ (K5) 18 Lunches @ $3.15 per day = $56.70 (68) 18 Lunches @ $3.25 per day = $58.50 (912) 18 Lunches @ $3.40 per day = $61.20
Number of Reduced Lunches w/ Milk _____________
x * *Cost =
___________
x $.40 =
___________
18 Lunches @ $.40 per day = $7.20 ( approved reduced recipients only)
Number of Breakfasts w/ Milk ___________________ x $2.00 = ___________ 19 B reakfasts @ $2.00 per day = $38.00 Number of Reduced Breakfasts w/ Milk ____________
x $.30 = ___________
19 Breakfasts @ $.30 per day = $5.70 ( approved reduced recipients only)
Number of Milks _______________________________ 18 Milks @ $.70 per day = $12.60
x $.70 =
___________
Total Due
___________
Please make checks/money orders payable to Collegium Charter School and please indicate your child’s food service PIN on the memo line. Return this form with payment in an envelope to CCS, allowing 5 school days for the payment to be posted and available in your child’s meal account. For overnight posting and availability, use www.MySchoolAccount.com . Alternative lunches may be provided for students with negative account balances, per the CCS Meal Payment/Charging Policy .
For Office Use Only Check #:
Money Order #:
Cash :
Amount :
Date :
Posted By :
GRADES K-5 LUNCH MENU SEPTEMBER 2017 Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
All entrees can be substituted for a WG PBJ Graham Cracker Sandwich.
2
Early Dismissal No Lunch Service
3
4
5
6
7
8
School Closed Labor Day
Chicken Parmesan Sandwich Broccoli 100% Fruit Juice Cookie
French Toast Turkey Sausage Hash Brown Apple Slices
Chicken Nuggets Sweet & Sour Dipping Sauce Mixed Vegetables 100% Fruit Juice
Cheesy Breadsticks Marinara Dipping Sauce Edamame Mandarin Oranges
10
11
12
13
14
15
Turkey Hot Dog Goldfish Crackers Vegetarian Baked Beans 100% Fruit Juice
Chicken Nuggets WG Rice Sweet Corn Apple
Cheeseburger Lettuce, Tomato & Pickle French Fries Whole Fruit
Chicken & Broccoli Alfredo WG Rotini Pasta Garlic Bread Peaches
Cheese Pizza Crisp Romaine Salad Cookie Fresh Fruit
17
18
19
20
21
22
French Toast Sticks Hash Brown Turkey Sausage CInnamon-Dusted Applesauce
Chicken Fajita WG Wrap Lettuce, Cheese & Salsa WG Rice Pineapple
Cheesy Baked Pasta Cucumber Salad WG Roll Apple
Chicken Cheesesteak Potato Wedges Carrots 100% Frozen Fruit Juice
Cheese Pizza Edamame Oatmeal Cookie Fresh Fruit
24
25
26
27
28
29
School Closed
Meatball Sandwich French Fries Cucumber Slices w/ Ranch Pears
Chicken Nuggets Macaroni & Cheese Spinach 100% Fruit Juice
Turkey and Cheese Hoagie Celery Sticks Chocolate Chip Cookie Pears
Cheese Pizza Roasted Chickpeas Pudding Fresh Fruit
All parents/guardians of children with food allergies must have their child's physician complete and return a physician form annually to the school nurse. The nurse will communicate allergy information to the Food Service Department. Please ask your school nurse for the physician form.
NOTES
9
16
23
30
500 BUILDING 150 & 468/486 BUILDINGS WEEKLY BREAKFAST MENU DAILY BREAKFAST MENU Cold Cereal & Milk, Juice, Yogurt, Mini Mon: Scrambled Eggs Bagel, WG Muffin, and Fresh Fruit Tues: French Toast Sticks Wed: Sausage/Egg on Roll Thurs: Pancakes Fri: Egg/Cheese on Roll
Menu Key
BREAKFAST PRICES
LUNCH PRICES
MILK OPTIONS
WG = Whole Grain WW = Whole Wheat MG = Multi Grain
Breakfast K-12 = $2.00. For qualified applicants, breakfast K-12 = $.30.
Lunch K-5 = $3.15. For qualified applicants, lunch K-12 = $.40.
All lunches include a choice of All items typically fried fat-free white, strawberry, or are baked. Menu items chocolate milk. are subject to change.
MENU ITEMS
PAYMENTS To make payments to your child’s meal account, view balances, and review purchases, use MySchoolAccount.com
GRADES 6-8 LUNCH MENU SEPTEMBER 2017 Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
2
Early Dismissal No Lunch Service
3
4
5
6
7
8
All entrees can be substituted for a Grilled Chicken Salad w/ WG Crackers.
School Closed Labor Day
Chicken Parmesan Sandwich Broccoli 100% Fruit Juice Cookie
French Toast Turkey Sausage Hash Brown Apple Slices
Chicken Nuggets Sweet & Sour Dipping Sauce Mixed Vegetables 100% Fruit Juice
Cheesy Breadsticks Marinara Dipping Sauce Edamame Mandarin Oranges
10
11
12
13
14
15
All entrees can be substituted for a Chicken Caesar Salad w/ WG Crackers.
Turkey Hot Dog Goldfish Crackers Vegetarian Baked Beans 100% Fruit Juice
Chicken Nuggets WG Rice Sweet Corn Apple
Cheeseburger Lettuce, Tomato & Pickle French Fries Whole Fruit
Chicken & Broccoli Alfredo WG Rotini Pasta Garlic Bread Peaches
Cheese Pizza Crisp Romaine Salad Cookie Fresh Fruit
17
18
19
20
21
22
All entrees can be substituted for a Cobb Salad w/ WG Crackers.
French Toast Sticks Hash Brown Turkey Sausage CInnamon-Dusted Applesauce
Chicken Fajita WG Wrap Lettuce, Cheese & Salsa WG Rice Pineapple
Cheesy Baked Pasta Cucumber Salad WG Roll Apple
Chicken Cheesesteak Potato Wedges Carrots 100% Frozen Fruit Juice
Cheese Pizza Edamame Oatmeal Cookie Fresh Fruit
24
25
26
27
28
29
All entrees can be substituted for a Chef Salad w/ WG Crackers.
School Closed
Meatball Sandwich French Fries Cucumber Slices w/ Ranch Pears
Chicken Nuggets Macaroni & Cheese Spinach 100% Fruit Juice
Turkey and Cheese Hoagie Celery Sticks Chocolate Chip Cookie Pears
Cheese Pizza Roasted Chickpeas Pudding Fresh Fruit All parents/guardians of children with food allergies must have their child's physician complete and return a physician form annually to the school nurse. The nurse will communicate allergy information to the Food Service Department. Please ask your school nurse for the physician form.
NOTES
Menu Key
BREAKFAST PRICES
LUNCH PRICES
MILK OPTIONS
WG = Whole Grain WW = Whole Wheat MG = Multi Grain
Breakfast K-12 = $2.00. For qualified applicants, breakfast K-12 = $.30.
Lunch 6-8 = $3.25. For qualified applicants, lunch K-12 = $.40.
All lunches include a choice of All items typically fried are fat-free white, strawberry, or baked. Menu items are chocolate milk. subject to change.
MENU ITEMS
9
16
23
30
500 & 515 BUILDING WEEKLY BREAKFAST MENU Mon: Scrambled Eggs Tues: French Toast Sticks Wed: Sausage/Egg on Roll Thurs: Pancakes Fri: Egg/Cheese on Roll
PAYMENTS To make payments to your child’s meal acco view balances, and review purchases, use MySchoolAccount.com
GRADES 9-12 LUNCH MENU SEPTEMBER 2017 Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
All entrees can be substituted for a Chef Salad w/ WG Cracker.
2
Early Dismissal No Lunch Service
3
4
5
6
7
8
All entrees can be substituted for a Grilled Chicken Salad w/ WG Crackers.
School Closed Labor Day
Spicy Popcorn Chicken Rice & Beans Romaine Salad 100% Fruit Juice
WG Pasta w/ Red Sauce Garlic Bread Green Beans WG Animal Crackers
Hot Ham & Cheese Crinkle Fries Roasted Carrots Reduced-Fat Chocolate Cookie
Cheese Pizza Spinach Salad Roasted Chickpeas Pineapple
10
11
12
13
14
15
All entrees can be substituted for a Chicken Caesar Salad w/ WG Crackers.
Battered Cod French Fries Chocolate Chip Cookie Watermelon
Teriyaki Chicken WG Rice Sugar Snap Peas Mandarin Oranges
Cheese Lasagna Garlic Bread Tossed Salad 100% Fruit Juice
Italian Hoagie Baked Chips Carrot Sticks w/ Ranch Apple Slices
Personal Pizza Spinach Salad Mini Ice Cream Sandwich Pears
17
18
19
20
21
22
All entrees can be substituted for a Cobb Salad w/ WG Crackers.
Spicy Chicken Fingers Potato Wedges Corn 100% Fruit Juice
Grilled Cheese Tomato Soup Cucumbers Whole Fruit Brownie
Fried Chicken Buttermilk Biscuit Vegetarian Baked Beans Watermelon
Macaroni & Cheese Popcorn Chicken Carrots Apple Slices
Cheese Pizza Spinach Salad Roasted Edamame Pears
24
25
26
27
28
29
All entrees can be substituted for a Chef Salad w/ WG Crackers.
School Closed
BBQ Popcorn Chicken WG Rice Pilaf Broccoli Mandarin Oranges
Walking Taco Reduced-Fat Doritos Lettuce, Tomato, Salsa, & Cheddar Cheese Oranges
Meatball Sandwich Baked Chips Cucumber Slices w/ Ranch Peaches
French Bread Pizza Chickpea & Spinach Salad 100% Frozen Fruit Juice
All parents/guardians of children with food allergies must have their child's physician complete and return a physician form annually to the school nurse. The nurse will communicate allergy information to the Food Service Department. Please ask your school nurse for the physician form.
NOTES
Menu Key
BREAKFAST PRICES
LUNCH PRICES
MILK OPTIONS
WG = Whole Grain WW = Whole Wheat MG = Multi Grain
Breakfast K-12 = $2.00. For qualified applicants, breakfast K-12 = $.30.
Lunch 9-12 = $3.40. For qualified applicants, lunch K-12 = $.40.
All lunches include a choice of All items typically fried fat-free white, strawberry, or are baked. Menu items chocolate milk. are subject to change.
MENU ITEMS
9
16
23
30
535 BUILDING WEEKLY BREAKFAST MENU Mon: Scrambled Eggs Tues: French Toast Sticks Wed: Sausage/Egg on Roll Thurs: Pancakes Fri: Egg/Cheese on Roll
PAYMENTS To make payments to your child’s meal account, view balances, and review purchases, use MySchoolAccount.com
