Nevada Joint Union
High School District

We request that all families return this confidential income data collection form to their student’s school front office by September 30, 2021, in order to assist in qualifying for state funding and resources from the California Department of Education. This is not an application for Free and Reduced-Price Meals. All students at Nevada Jt. Union High School District receive free meals under the Seamless Summer Option (SSO).

• 2021-22 School Year Food Service Letter/Information
• Alternative Income Form - English
• Alternative Income Form - Spanish

Address:

Name & Position		Contact Info
Theresa Ruiz Director of Nutrition Services		Phone: 530-273-9788 Email
Iva Lee District Office / Lunch Application Processing		Phone: 530 273-3351 ext. 3202 Email
Dayna Geiger Nevada Union High School /Asst. Manager		Phone: 530 273-9788  Email
Gale Jones Bear River High School/Asst. Manager		Phone: 530 268-3700 ext. 4708  Email
Anita Smith Silver Springs High School/Asst. Manager		Phone: 530 272-2635 ext. 332 Email

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:  http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1)   mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

(2)   fax: (202) 690-7442; or (3)  email: program.intake@usda.gov.

This institution is an equal opportunity provider.