https://www.k12.wa.us/sites/default/files/public/childnutrition/IncomeGuidelines_20-21.pdf.
2020-2021
RUNNING START FEE WAIVER ELIGIBILITY
Running Start students wanting to qualify for a waiver of fees must complete and submit this form with their Running Start
Verification Form to determine eligibility.
Student’s Name: _______________________________________ SID#: ____________________
High School: __________________________________________
INCOME CHART
Effective from July 1, 2020 to June 30, 2021
HOUSEHOLD is defined as all persons,
including parents, children, grandparents, and
all people related or unrelated who live in your
home and share living expenses. If applying for
a household with a foster child, you may
include the foster child in the total household
size.
Household
Twice Per
Every Two
Size
Annual
Monthly
Month
Weeks
Weekly
1
$23,606
$1,968
$984
$908
$454
2
$31,894
$2,658
$1,329
$1,227
$614
HOUSEHOLD INCOME is considered to be the
income each household member received
before taxes. This includes wages, social
security, pension, unemployment, welfare,
child support, alimony, and any other cash
income. If including a foster child as part of
the household, you must also include the
foster child's personal income. Do not report
foster payments as income.
3
$40,182
$3,349
$1,675
$1,546
$773
4
$48,470
$4,040
$2,020
$1,865
$933
5
$56,758
$4,730
$2,365
$2,183
$1,092
6
$65,046
$5,421
$2,711
$2,502
$1,251
7
$73,334
$6,112
$3,056
$2,821
$1,411
8
$81,662
$6,802
$3,401
$3,140
$1,570
For each
additional
member add:
$8,288
$691
$346
$319
$160
Number of Adults: __________
Number of Children (including BBCC Student): __________
Total Annual Income: ________________
Parent Signature: __________________________________ Date: _____________________