state agency template community eligibility provision · pdf filewith snap/enrollment place an...

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Attachment A 1 2 3 4 5 6 7 8 School Name LEA name LEA ID Identified Student Percentage (ISP) Proxy Identified Student Percentage (ISP) Eligible to Participate Near Eligible to Participate Participating and Eligible for a Grace Year Name of school receiving a CEP eligibility status notification Name of LEA for the school in column 1 LEA ID for the LEA entered in column 2 Identified student percentage If applicable, enter the proxy percentage below for each school in column 1 Proxy percent = number of directly certified students with SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible to participate in CEP (ISP >=40%) Place an "X" in this column if the school in column 1 is nearly eligible to participate in CEP (ISP >=30%) Place an "X" in this column in the school in column 1 is currently in the 4th year of the participation and is eligible for a grace year (ISP>=30%) Antrim Elementary School Contoocook Valley SAU Office 1 41.6667 X Conval Regional High School Contoocook Valley SAU Office 1 13.9241 Dublin Consolidated School Contoocook Valley SAU Office 1 18.3099 Francestown Elementary School Contoocook Valley SAU Office 1 11.9403 Great Brook School Contoocook Valley SAU Office 1 15.7088 Greenfield Elementary School Contoocook Valley SAU Office 1 20.9302 Hancock Elementary School Contoocook Valley SAU Office 1 22.7273 Peterborough Elementary School Contoocook Valley SAU Office 1 29.7189 Pierce Elementary School Contoocook Valley SAU Office 1 28.0702 South Meadow School Contoocook Valley SAU Office 1 16.5468 Temple Elementary School Contoocook Valley SAU Office 1 15 Ashland Elementary School Inter-Lakes Cooperative SAU Office 2 38.9831 X Inter-Lakes Elementary School Inter-Lakes Cooperative SAU Office 2 21.5569 Inter-Lakes High School Inter-Lakes Cooperative SAU Office 2 13.783 Inter-Lakes Middle Tier Inter-Lakes Cooperative SAU Office 2 43.75 X Sandwich Central School Inter-Lakes Cooperative SAU Office 2 13.2353 Berlin Middle School Berlin SAU Office 3 40.5844 X Berlin Senior High School Berlin SAU Office 3 29.5349 Brown Elementary School Berlin SAU Office 3 50.9363 X Hillside Elementary School Berlin SAU Office 3 51.6807 X Bridgewater-Hebron Village School Newfound Area SAU Office 4 31.25 X Bristol Elementary School Newfound Area SAU Office 4 38.3621 X Danbury Elementary School Newfound Area SAU Office 4 30.9091 X New Hampton Community School Newfound Area SAU Office 4 28.9063 Newfound Memorial Middle Schoo Newfound Area SAU Office 4 25.8555 Newfound Regional High School Newfound Area SAU Office 4 21.9512 Mast Way School Oyster River SAU Office 5 6.338 Moharimet School Oyster River SAU Office 5 7.2289 Oyster River High School Oyster River SAU Office 5 3.9941 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools Instructions: Fill in the template below and submit via email to [email protected] to publish the list of schools receiving CEP eligibility notices on your web site which will be linked to FNS’ CEP Web site. Please enter the school name, LEA name, LEA ID, identified student percentage (or proxy) and an "X" in the appropriate column (6-8). There should only be one "X" per school. State agency: New Hampshire

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Page 1: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Antrim Elementary School Contoocook Valley SAU Office 1 41.6667 X

Conval Regional High School Contoocook Valley SAU Office 1 13.9241

Dublin Consolidated School Contoocook Valley SAU Office 1 18.3099

Francestown Elementary School Contoocook Valley SAU Office 1 11.9403

Great Brook School Contoocook Valley SAU Office 1 15.7088

Greenfield Elementary School Contoocook Valley SAU Office 1 20.9302

Hancock Elementary School Contoocook Valley SAU Office 1 22.7273

Peterborough Elementary School Contoocook Valley SAU Office 1 29.7189

Pierce Elementary School Contoocook Valley SAU Office 1 28.0702

South Meadow School Contoocook Valley SAU Office 1 16.5468

Temple Elementary School Contoocook Valley SAU Office 1 15

Ashland Elementary School Inter-Lakes Cooperative SAU Office 2 38.9831 X

Inter-Lakes Elementary School Inter-Lakes Cooperative SAU Office 2 21.5569

Inter-Lakes High School Inter-Lakes Cooperative SAU Office 2 13.783

Inter-Lakes Middle Tier Inter-Lakes Cooperative SAU Office 2 43.75 X

Sandwich Central School Inter-Lakes Cooperative SAU Office 2 13.2353

Berlin Middle School Berlin SAU Office 3 40.5844 X

Berlin Senior High School Berlin SAU Office 3 29.5349

Brown Elementary School Berlin SAU Office 3 50.9363 X

Hillside Elementary School Berlin SAU Office 3 51.6807 X

Bridgewater-Hebron Village School Newfound Area SAU Office 4 31.25 X

Bristol Elementary School Newfound Area SAU Office 4 38.3621 X

Danbury Elementary School Newfound Area SAU Office 4 30.9091 X

New Hampton Community School Newfound Area SAU Office 4 28.9063

Newfound Memorial Middle SchoolNewfound Area SAU Office 4 25.8555

Newfound Regional High School Newfound Area SAU Office 4 21.9512

Mast Way School Oyster River SAU Office 5 6.338

Moharimet School Oyster River SAU Office 5 7.2289Oyster River High School Oyster River SAU Office 5 3.9941

State Agency Template

Community Eligibility Provision (CEP) Annual Notification of Schools

Instructions: Fill in the template below and submit via email to [email protected] to publish the list of schools receiving CEP eligibility notices on your web site which will be linked to FNS’ CEP

Web site. Please enter the school name, LEA name, LEA ID, identified student percentage (or proxy) and an "X" in the appropriate column (6-8). There should only be one "X" per school.

State agency: New Hampshire

Page 2: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Oyster River Middle School Oyster River SAU Office 5 3.5398

Bluff School Claremont SAU Office 6 60.7306 X

Claremont Middle School Claremont SAU Office 6 37.3171 X

Cornish Elementary School Claremont SAU Office 6 24.2991

Disnard Elementary School Claremont SAU Office 6 45.5696 X

Maple Avenue School Claremont SAU Office 6 41.7827 X

Stevens High School Claremont SAU Office 6 28.1426

Unity Elementary School Claremont SAU Office 6 31.9328 X

Colebrook Academy Colebrook SAU Office 7 29.4118

Colebrook Elementary School Colebrook SAU Office 7 38.6525 X

Pittsburg School (High) Colebrook SAU Office 7 14.2857

Stewartstown Community School Colebrook SAU Office 7 46.1538 X

Abbot-Downing School Concord SAU Office 8 33.2432 X

Beaver Meadow School Concord SAU Office 8 38.8889 X

Broken Ground School Concord SAU Office 8 35.5615 X

Christa McAuliffe Concord SAU Office 8 34.2466 X

Concord High School Concord SAU Office 8 21.5733

Mill Brook School Concord SAU Office 8 63.7993 X

Rundlett Middle School Concord SAU Office 8 27.2262

St. John Regional School Concord SAU Office 8 NULL

A. Crosby Kennett Middle School Conway SAU Office 9 24.2424

Conway Elementary School Conway SAU Office 9 43.5685 X

Jackson Grammar School Conway SAU Office 9 14

John H. Fuller School Conway SAU Office 9 30.0429 X

Josiah Bartlett Elementary School Conway SAU Office 9 19.5349

Kennett High School Conway SAU Office 9 22.1014

Pine Tree Elementary School Conway SAU Office 9 23.4127

Derry Village School Derry Cooperative SAU Office 10 19.5946

East Derry Memorial Elementary SchoolDerry Cooperative SAU Office 10 8.2707

Ernest P. Barka Elementary School Derry Cooperative SAU Office 10 19.1781

Gilbert H. Hood Middle School Derry Cooperative SAU Office 10 16.2667

Grinnell School Derry Cooperative SAU Office 10 31.8408 X

South Range Elementary School Derry Cooperative SAU Office 10 14.6409

West Running Brook Middle SchoolDerry Cooperative SAU Office 10 14.087

Dover Middle School Dover SAU Office 11 19.6956

Page 3: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Dover Senior High School Dover SAU Office 11 14.8609

Garrison School Dover SAU Office 11 10.3376

Horne Street School Dover SAU Office 11 16.7939

Woodman Park School Dover SAU Office 11 46.3845 X

Londonderry Middle School Londonderry SAU Office 12 7.8197

Londonderry Senior High School Londonderry SAU Office 12 4.9969

Matthew Thornton Elementary SchoolLondonderry SAU Office 12 6.3903

North Londonderry Elementary SchoolLondonderry SAU Office 12 10.643

South Londonderry Elementary SchoolLondonderry SAU Office 12 13.2353

Freedom Elementary School Tamworth SAU Office 13 52.459 X

Kenneth A. Brett School Tamworth SAU Office 13 43.0556 X

Madison Elementary School Tamworth SAU Office 13 25.5474

Epping Elementary School Epping SAU Office 14 19.145

Epping High School Epping SAU Office 14 18.3746

Epping Middle School Epping SAU Office 14 16.3462

Auburn Village School Hooksett SAU Office 15 7.7601

David R. Cawley Middle School Hooksett SAU Office 15 14.0316

Fred C. Underhill School Hooksett SAU Office 15 17.2249

Henry W. Moore School Hooksett SAU Office 15 10.2981

Hooksett Memorial School Hooksett SAU Office 15 14.8847

Cooperative Middle School Exeter SAU Office 16 7.5

East Kingston Elementary School Exeter SAU Office 16 10.241

Exeter High School Exeter SAU Office 16 6.2271

Great Bay eLearning Charter School (H)Exeter SAU Office 16 10.9375

Kensington Elementary School Exeter SAU Office 16 2.9851

Lincoln Street Elementary School Exeter SAU Office 16 11.7647

Main Street School Exeter SAU Office 16 22.2222

Newfields Elementary School Exeter SAU Office 16 0.7194

Stratham Memorial School Exeter SAU Office 16 5.0736

Swasey Central School Exeter SAU Office 16 6.2893

Daniel J. Bakie School Sanborn Regional SAU Office 17 13.8743

Memorial School Sanborn Regional SAU Office 17 NULL

Memorial School Sanborn Regional SAU Office 17 10.3746

Sanborn Regional High School Sanborn Regional SAU Office 17 6.2246

Sanborn Regional Middle School Sanborn Regional SAU Office 17 9.3085

Page 4: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Seacoast Charter School Sanborn Regional SAU Office 17 6.7857

Franklin High School Franklin SAU Office 18 37.7358 X

Franklin Middle School Franklin SAU Office 18 51.632 X

Jennie D. Blake School Franklin SAU Office 18 44.4444 X

Paul Smith School Franklin SAU Office 18 55.6745 X

Bartlett Elementary School Goffstown SAU Office 19 30.1587 X

Dunbarton Elementary School Goffstown SAU Office 19 9.5238

Goffstown High School Goffstown SAU Office 19 6.6322

Maple Avenue School Goffstown SAU Office 19 11.2385

Mountain View Middle School Goffstown SAU Office 19 11.4025

New Boston Central School Goffstown SAU Office 19 8.3871

Edward Fenn School Gorham SAU Office 20 20.4188

Errol Consolidated Elementary SchoolGorham SAU Office 20 16.6667

Gorham High School Gorham SAU Office 20 5.6

Milan Village Elementary School Gorham SAU Office 20 20.5128

Lincoln Akerman School Winnacunnet SAU Office 21 6.6667

North Hampton School Winnacunnet SAU Office 21 5.4245

Seabrook Elementary School Winnacunnet SAU Office 21 24.2138

South Hampton Barnard School Winnacunnet SAU Office 21 4.7619

Winnacunnet High School Winnacunnet SAU Office 21 13.8241

Bath Village School Haverhill Cooperative SAU Office 23 21.3115

Haverhill Cooperative Middle SchoolHaverhill Cooperative SAU Office 23 27.2031

Piermont Village School Haverhill Cooperative SAU Office 23 13.0435

Warren Village School Haverhill Cooperative SAU Office 23 29.0323

Woodsville Elementary School Haverhill Cooperative SAU Office 23 38.5787 X

Woodsville High School Haverhill Cooperative SAU Office 23 18.2171

Center Woods School Henniker SAU Office 24 16.7832

Henniker Community School Henniker SAU Office 24 23.1884

James Faulkner Elementary School Henniker SAU Office 24 16.3636

John Stark Regional High School Henniker SAU Office 24 11.174

Weare Middle School Henniker SAU Office 24 16.5289

Bedford High School Bedford SAU Office 25 2.4356

McKelvie Intermediate School Bedford SAU Office 25 2.2487

Memorial School Bedford SAU Office 25 10.7784

Peter Woodbury School Bedford SAU Office 25 4.0084

Page 5: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Riddle Brook School Bedford SAU Office 25 2.1231

Ross A. Lurgio Middle School Bedford SAU Office 25 3.6755

James Mastricola Elementary SchoolMerrimack SAU Office 26 11.5854

James Mastricola Upper Elementary SchoolMerrimack SAU Office 26 3.8143

Merrimack High School Merrimack SAU Office 26 3.7529

Merrimack Middle School Merrimack SAU Office 26 6.822

Reeds Ferry School Merrimack SAU Office 26 14.5631

Thorntons Ferry School Merrimack SAU Office 26 10.1036

Campbell High School Litchfield SAU Office 27 3.9749

Griffin Memorial School Litchfield SAU Office 27 10.158

Litchfield Middle School Litchfield SAU Office 27 4.499

Pelham Elementary School Pelham SAU Office 28 12.3399

Pelham High School Pelham SAU Office 28 5.7994

Pelham Memorial School Pelham SAU Office 28 4.7259

St. Patrick School Pelham SAU Office 28 NULL

Chesterfield Central School Keene SAU Office 29 11.5789

Franklin Elementary School Keene SAU Office 29 51.9802 X

Fuller Elementary School Keene SAU Office 29 35.0453 X

John Perkins Elementary School Keene SAU Office 29 38.2353 X

Jonathan M. Daniels School Keene SAU Office 29 16.8539

Keene High School Keene SAU Office 29 17.6761

Keene Middle School Keene SAU Office 29 24.7143

Marlborough Elementary School Keene SAU Office 29 24.4186

Nelson Elementary School Keene SAU Office 29 23.2143

Symonds Elementary School Keene SAU Office 29 26.1111

Wells Memorial School Keene SAU Office 29 17.0213

Westmoreland School Keene SAU Office 29 11.5385

Wheelock Elementary School Keene SAU Office 29 59.6491 X

Elm Street School Laconia SAU Office 30 45 X

Holy Trinity Catholic School Laconia SAU Office 30 NULL

Laconia High School Laconia SAU Office 30 35.6209 X

Laconia Middle School Laconia SAU Office 30 40.6316 X

Pleasant Street School Laconia SAU Office 30 42.6117 X

Woodland Heights Elementary SchoolLaconia SAU Office 30 57.2104 X

Newmarket Elementary School Newmarket SAU Office 31 19.1336

Page 6: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Newmarket Jr.-Sr. High School Newmarket SAU Office 31 9.7506

Plainfield Elementary School Plainfield SAU Office 32 3.653

Iber Holmes Gove Middle School Raymond SAU Office 33 17.6471

Lamprey River Elementary School Raymond SAU Office 33 30.5556 X

Raymond High School Raymond SAU Office 33 15.8371

Hillsboro-Deering Elementary SchoolHillsboro-Deering SAU Office 34 32.8922 X

Hillsboro-Deering High School Hillsboro-Deering SAU Office 34 20.5674

Hillsboro-Deering Middle School Hillsboro-Deering SAU Office 34 23.0769

Washington Elementary School Hillsboro-Deering SAU Office 34 21.4286

Bethlehem Elementary School SAU #35 Office 35 29.6774

Lafayette Regional School SAU #35 Office 35 11.7647

Landaff Blue School SAU #35 Office 35 10.5263

Lisbon Regional School (High) SAU #35 Office 35 4.4199

Profile Senior High School SAU #35 Office 35 9.0909

Jefferson Elementary School White Mountains Reg SAU Office 36 29.8851

Lancaster Elementary School White Mountains Reg SAU Office 36 33.4204 X

North Country CLASS White Mountains Reg SAU Office 36 77.7778 X

White Mountains Regional High SchoolWhite Mountains Reg SAU Office 36 24.6193

Whitefield Elementary School White Mountains Reg SAU Office 36 38.3686 X

Bakersville School Manchester SAU Office 37 64.5477 X

Beech Street School Manchester SAU Office 37 76.3158 X

Gossler Park School Manchester SAU Office 37 75.3521 X

Green Acres School Manchester SAU Office 37 19.5423

Hallsville School Manchester SAU Office 37 43.9759 X

Henry J. McLaughlin Middle School Manchester SAU Office 37 36.8906 X

Highland-Goffes Falls School Manchester SAU Office 37 28.1437

Hillside Middle School Manchester SAU Office 37 38.8889 X

Jewett School Manchester SAU Office 37 38.2932 X

Manchester Central High School Manchester SAU Office 37 25.5509

Manchester Memorial High School Manchester SAU Office 37 21.6346

Manchester School of Technology (High School)Manchester SAU Office 37 31.3869 X

Manchester West High School Manchester SAU Office 37 34.1121 X

McDonough School Manchester SAU Office 37 59.9018 X

Middle School At Parkside Manchester SAU Office 37 50.5065 X

Northwest Elementary School Manchester SAU Office 37 50.1511 X

Page 7: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Parker-Varney School Manchester SAU Office 37 54.4326 X

Smyth Road School Manchester SAU Office 37 27.3183

Southside Middle School Manchester SAU Office 37 39.5577 X

Webster School Manchester SAU Office 37 33.9535 X

Weston School Manchester SAU Office 37 35.2415 X

Wilson School Manchester SAU Office 37 88.4187 X

Amherst Middle School Amherst SAU Office 39 4.329

Clark-Wilkins School Amherst SAU Office 39 3.1056

Mont Vernon Village School Amherst SAU Office 39 6.2176

Souhegan Coop High School Amherst SAU Office 39 2.8812

Heron Pond Elementary School Milford SAU Office 40 14.3454

Jacques Memorial Elementary SchoolMilford SAU Office 40 35.4497 X

Milford High School Milford SAU Office 40 11.4286

Milford Middle School Milford SAU Office 40 13.0246

Captain Samuel Douglass Academy Hollis-Brookline SAU Office 41 4.0134

Hollis Primary School Hollis-Brookline SAU Office 41 2.5

Hollis Upper Elementary School Hollis-Brookline SAU Office 41 2.0906

Hollis-Brookline High School Hollis-Brookline SAU Office 41 1.8391

Hollis-Brookline Middle School Hollis-Brookline SAU Office 41 2.8646

Richard Maghakian Memorial SchoolHollis-Brookline SAU Office 41 6.7742

Amherst Street School Nashua SAU Office 42 49.5356 X

Bicentennial Elementary School Nashua SAU Office 42 8.7189

Birch Hill Elementary School Nashua SAU Office 42 22.9581

Broad Street Elementary School Nashua SAU Office 42 24.3243

Charlotte Ave Elementary School Nashua SAU Office 42 16.0757

CLEARWAY ALTERNATIVE SCHO Nashua SAU Office 42 NULL

Dr. Norman W. Crisp School Nashua SAU Office 42 54.6798 X

Elm Street Middle School Nashua SAU Office 42 25.0676

Fairgrounds Elementary School Nashua SAU Office 42 46.6418 X

Fairgrounds Middle School Nashua SAU Office 42 25.8156

Ledge Street School Nashua SAU Office 42 56.0924 X

Main Dunstable School Nashua SAU Office 42 11.6034

Mt. Pleasant School Nashua SAU Office 42 48.5788 X

Nashua High School North Nashua SAU Office 42 22.0455

Nashua High School South Nashua SAU Office 42 18.8945

Page 8: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

New Searles School Nashua SAU Office 42 13.0233

Pennichuck Middle School Nashua SAU Office 42 31.7003 X

Sunset Heights School Nashua SAU Office 42 24.3243

Croydon Village School Newport SAU Office 43 17.2414

Newport Middle High School (High)Newport SAU Office 43 15.2

Richards Elementary School Newport SAU Office 43 58.2492 X

Towle Elementary School Newport SAU Office 43 39.4366 X

Northwood Elementary School Northwood SAU Office 44 14.8515

Nottingham Elementary School Northwood SAU Office 44 10.7143

Strafford School Northwood SAU Office 44 11.7914

Andover Elementary School Merrimack Valley SAU Office 46 14.6939

Boscawen Elementary School Merrimack Valley SAU Office 46 30.315 X

Loudon Elementary School Merrimack Valley SAU Office 46 18.123

Merrimack Valley High School Merrimack Valley SAU Office 46 13.4752

Merrimack Valley Middle School Merrimack Valley SAU Office 46 15.6156

Penacook Elementary School Merrimack Valley SAU Office 46 29.274

Salisbury Elementary School Merrimack Valley SAU Office 46 23.1707

Webster Elementary School Merrimack Valley SAU Office 46 21.1009

Conant High School Jaffrey-Rindge SAU Office 47 18.8636

Jaffrey Grade School Jaffrey-Rindge SAU Office 47 32.4484 X

Jaffrey-Rindge Middle School Jaffrey-Rindge SAU Office 47 25.4237

Rindge Memorial School Jaffrey-Rindge SAU Office 47 24.9275

Campton Elementary School Plymouth SAU Office 48 36.8243 X

Holderness Central School Plymouth SAU Office 48 21.978

Plymouth Elementary School Plymouth SAU Office 48 33.2461 X

Plymouth Regional High School Plymouth SAU Office 48 18.9266

Russell Elementary School Plymouth SAU Office 48 37.8378 X

Thornton Central School Plymouth SAU Office 48 28.7611

Waterville Valley Elementary SchoolPlymouth SAU Office 48 9.375

Wentworth Elementary School Plymouth SAU Office 48 39.3443 X

Carpenter Elementary School Governor Wentworth Reg SAU Office 49 22.5

Crescent Lake School Governor Wentworth Reg SAU Office 49 12.8342

Effingham Elementary School Governor Wentworth Reg SAU Office 49 38.5417 X

Kingswood Regional High School Governor Wentworth Reg SAU Office 49 21.9888

Kingswood Regional Middle School Governor Wentworth Reg SAU Office 49 25.6131

Page 9: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

New Durham Elementary School Governor Wentworth Reg SAU Office 49 23.2044

Ossipee Central School Governor Wentworth Reg SAU Office 49 52.6646 X

Tuftonboro Central School Governor Wentworth Reg SAU Office 49 17.037

Greenland Central School Greenland SAU Office 50 7.8125

Maude H. Trefethen School Greenland SAU Office 50 NULL

Newington Public School Greenland SAU Office 50 8.1081

Rye Elementary School Greenland SAU Office 50 4.7619

Rye Junior High School Greenland SAU Office 50 2.7624

Pittsfield Elementary School Pittsfield SAU Office 51 46.2585 X

Pittsfield High School Pittsfield SAU Office 51 14.4487

Little Harbour School Portsmouth SAU Office 52 11.3636

Mary C. Dondero Elementary SchoolPortsmouth SAU Office 52 23.0263

New Franklin School Portsmouth SAU Office 52 25.9259

Portsmouth High School Portsmouth SAU Office 52 13.5814

Portsmouth Middle School Portsmouth SAU Office 52 15.0735

Allenstown Elementary School Pembroke SAU Office 53 45.2381 X

Armand R. Dupont School Pembroke SAU Office 53 24.8227

Chichester Central School Pembroke SAU Office 53 15.7205

Deerfield Community School Pembroke SAU Office 53 17.3516

Epsom Central School Pembroke SAU Office 53 19.9531

Pembroke Academy Pembroke SAU Office 53 18.3295

Pembroke Hill School Pembroke SAU Office 53 21.3992

Pembroke Village School Pembroke SAU Office 53 30 X

Strong Foundations Charter School Pembroke SAU Office 53 5.7522

Three Rivers School Pembroke SAU Office 53 19.3084

Chamberlain Street School Rochester SAU Office 54 44.1176 X

East Rochester School Rochester SAU Office 54 59.4142 X

Gonic School Rochester SAU Office 54 38.0165 X

Maple Street Magnet School Rochester SAU Office 54 43.9252 X

McClelland School Rochester SAU Office 54 42.8954 X

Nancy Loud School Rochester SAU Office 54 51.1364 X

Rochester Middle School Rochester SAU Office 54 38.6694 X

School Street School Rochester SAU Office 54 66.3265 X

Spaulding High School Rochester SAU Office 54 26.9553

Wm. Allen Elementary School Rochester SAU Office 54 53.6986 X

Page 10: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Atkinson Academy Timberlane Regional SAU Office 55 4.0881

Danville Elementary School Timberlane Regional SAU Office 55 15.9184

Hampstead Central School Timberlane Regional SAU Office 55 9.5238

Hampstead Middle School Timberlane Regional SAU Office 55 7.2993

Pollard Elementary School Timberlane Regional SAU Office 55 20.8738

Sandown Central School Timberlane Regional SAU Office 55 5.0725

Sandown North Elementary School Timberlane Regional SAU Office 55 14.0187

Timberlane Regional High School Timberlane Regional SAU Office 55 5.6759

Timberlane Regional Middle SchoolTimberlane Regional SAU Office 55 7.7258

Idlehurst Elementary School Somersworth SAU Office 56 NULL

Idlehurst Elementary School Somersworth SAU Office 56 51.341 X

Maple Wood Elementary School Somersworth SAU Office 56 38.3721 X

Rollinsford Grade School Somersworth SAU Office 56 14.0449

Somersworth High School Somersworth SAU Office 56 24.7723

Somersworth Middle School Somersworth SAU Office 56 NULL

Somersworth Middle School Somersworth SAU Office 56 40.3712 X

Dr. L. F. Soule School Salem SAU Office 57 21.4286

Mary A. Fisk Elementary School Salem SAU Office 57 15.1292

North Salem Elementary School Salem SAU Office 57 14.9864

Salem High School Salem SAU Office 57 5.4608

Walter F. Haigh School Salem SAU Office 57 12.3656

William E. Lancaster School Salem SAU Office 57 10.473

William T. Barron Elementary SchoolSalem SAU Office 57 10.6796

Woodbury School Salem SAU Office 57 7.5575

Groveton Elementary School Northumberland SAU Office 58 46.4567 X

Groveton High School Northumberland SAU Office 58 19.2469

Stark Village School Northumberland SAU Office 58 51.8519 X

STRATFORD PUBLIC SCHOOL Northumberland SAU Office 58 NULL

Sanbornton Central School Winnisquam Regional SAU Office 59 22.3958

Southwick School Winnisquam Regional SAU Office 59 31.3008 X

Union Sanborn School Winnisquam Regional SAU Office 59 37.0518 X

Winnisquam Regional High School Winnisquam Regional SAU Office 59 18.1223

Winnisquam Regional Middle SchoolWinnisquam Regional SAU Office 59 25.5882

Acworth Elementary School Fall Mountain Regional SAU Office 60 45.4545 X

Alstead Primary School Fall Mountain Regional SAU Office 60 36.2745 X

Page 11: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Charlestown Middle School Fall Mountain Regional SAU Office 60 32.3741 X

Charlestown Primary School Fall Mountain Regional SAU Office 60 46.0784 X

Fall Mountain Regional High SchoolFall Mountain Regional SAU Office 60 17.3152

N. Charlestown Community School Fall Mountain Regional SAU Office 60 36.25 X

North Walpole School Fall Mountain Regional SAU Office 60 24.4898

Sarah Porter School Fall Mountain Regional SAU Office 60 8.3333

Vilas Elementary School Fall Mountain Regional SAU Office 60 22.2222

Walpole Elementary School Fall Mountain Regional SAU Office 60 16.7742

Walpole Primary School Fall Mountain Regional SAU Office 60 29.6296

Farmington Senior High School Farmington SAU Office 61 27.4359

Henry Wilson Memorial School Farmington SAU Office 61 34.5133 X

Valley View Community Elementary SchoolFarmington SAU Office 61 37.1728 X

Canaan Elementary School Mascoma Valley SAU Office 62 33.4694 X

Enfield Village School Mascoma Valley SAU Office 62 21.4612

Indian River School Mascoma Valley SAU Office 62 25.2778

Mascoma Valley Regional High SchoolMascoma Valley SAU Office 62 16.4865

Florence Rideout Elementary SchoolWilton SAU Office 63 23.5849

Lyndeborough Central School Wilton SAU Office 63 17.1429

Wilton-Lyndeboro Senior High SchoolWilton SAU Office 63 10.0304

Milton Elementary School Wakefield SAU Office 64 38.8235 X

Nute High School Wakefield SAU Office 64 14.9068

Paul Elementary School Wakefield SAU Office 64 30.9633 X

Kearsarge Reg. Elem. School at New LondonKearsarge Regional SAU Office 65 9.0164

Kearsarge Reg. Elementary School - BradfordKearsarge Regional SAU Office 65 18.8679

Kearsarge Regional High School Kearsarge Regional SAU Office 65 8.3462

Kearsarge Regional Middle School Kearsarge Regional SAU Office 65 13.6

Simonds Elementary School Kearsarge Regional SAU Office 65 17.3333

Sutton Central Elementary School Kearsarge Regional SAU Office 65 23.4043

Harold Martin School Hopkinton SAU Office 66 9.8485

Hopkinton High School Hopkinton SAU Office 66 2.5641

Maple Street Elementary School Hopkinton SAU Office 66 4.955

Bow Elementary School Bow SAU Office 67 11.0778

Bow High School Bow SAU Office 67 3.2389

Bow Memorial School Bow SAU Office 67 5.5556

Lin-Wood Public School (Elem) Lincoln-Woodstock SAU Office 68 38.0952 X

Page 12: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Lin-Wood Public School (High) Lincoln-Woodstock SAU Office 68 22.335

Goshen-Lempster Cooperative SchoolGoshen-Lempster SAU Office 71 37.1257 X

Alton Central School (Elem) Alton SAU Office 72 21.1293

Gilford Elementary School Gilford SAU Office 73 26.9341

Gilford High School Gilford SAU Office 73 13.3072

Gilford Middle School Gilford SAU Office 73 16.7155

Barrington Elementary School Barrington SAU Office 74 9.703

Barrington Middle School Barrington SAU Office 74 11.8605

Grantham Village School Grantham SAU Office 75 3.2787

Lyme Elementary School Lyme SAU Office 76 2.9703

Monroe Consolidated School Monroe SAU Office 77 18.4211

Gilmanton Elementary School Gilmanton SAU Office 79 16.0804

Belmont Elementary School Shaker Regional SAU Office 80 37.8495 X

Belmont High School Shaker Regional SAU Office 80 17.6334

Belmont Middle School Shaker Regional SAU Office 80 25.7895

Canterbury Elementary School Shaker Regional SAU Office 80 9.9237

Alvirne High School Hudson SAU Office 81 8.5231

Dr. H. O. Smith Elementary School Hudson SAU Office 81 33.0769 X

Hills Garrison Elementary School Hudson SAU Office 81 13.2898

Hudson Memorial School Hudson SAU Office 81 11.1111

Nottingham West Elementary SchoolHudson SAU Office 81 11.5142

Chester Academy Chester SAU Office 82 6.1798

Ellis School Fremont SAU Office 83 11

Littleton High School Littleton SAU Office 84 10.9015

Mildred C. Lakeway School Littleton SAU Office 84 37.5598 X

Sunapee Central School Sunapee SAU Office 85 16.9591

Sunapee Middle High School Sunapee SAU Office 85 21.4286

Sunapee Sr. High School Sunapee SAU Office 85 8.4967

Barnstead Elementary School Barnstead SAU Office 86 19.8459

Boynton Middle School Mascenic Regional SAU Office 87 19.5266

Highbridge Hill Elementary School Mascenic Regional SAU Office 87 37.1951 X

Mascenic Regional High School Mascenic Regional SAU Office 87 15.0568

Hanover Street School Lebanon SAU Office 88 23.6842

Lebanon High School Lebanon SAU Office 88 8.9955

Lebanon Middle School Lebanon SAU Office 88 15.0685

Page 13: State Agency Template Community Eligibility Provision · PDF filewith SNAP/enrollment Place an "X" in this column if the school in column 1 is eligible ... Colebrook Academy Colebrook

Attachment A

1 2 3 4 5 6 7 8

School Name LEA name LEA IDIdentified Student

Percentage (ISP)

Proxy

Identified Student

Percentage (ISP)

Eligible to Participate Near Eligible to ParticipateParticipating and

Eligible for a Grace Year

Name of school receiving a CEP

eligibility status notification

Name of LEA for the school in column 1 LEA ID for the

LEA entered in

column 2

Identified student

percentage

If applicable, enter the

proxy

percentage below for each

school in column 1

Proxy percent = number of

directly certified students

with SNAP/enrollment

Place an "X" in this

column if the school

in column 1 is eligible

to participate in CEP

(ISP >=40%)

Place an "X" in this column

if the school in column 1 is

nearly eligible to

participate in CEP

(ISP >=30%)

Place an "X" in this

column in the school in

column 1 is currently in

the 4th year of the

participation and is

eligible for a grace year

(ISP>=30%)

Mt. Lebanon School Lebanon SAU Office 88 27.0758

Mason Elementary School Mason SAU Office 89 6.9767

Adeline C. Marston School Hampton SAU Office 90 14.3541

Hampton Academy Hampton SAU Office 90 12.7604

Hampton Centre School Hampton SAU Office 90 17.0868

Hinsdale Elementary School Hinsdale SAU Office 92 38.1974 X

Hinsdale High School Hinsdale SAU Office 92 22.449

Hinsdale Middle High School Hinsdale SAU Office 92 33.5878 X

Cutler School Monadnock Regional SAU Office 93 34.1853 X

Dr. George S. Emerson Elementary SchoolMonadnock Regional SAU Office 93 29.4798

Gilsum Elementary School Monadnock Regional SAU Office 93 44.1176 X

Monadnock Regional Middle High SchoolMonadnock Regional SAU Office 93 13.747

Mount Caesar School Monadnock Regional SAU Office 93 32.646 X

Troy Elementary School Monadnock Regional SAU Office 93 42.029 X

Winchester School Winchester SAU Office 94 51.8265 X

Golden Brook Elementary School Windham SAU Office 95 3.2787

Windham Center School Windham SAU Office 95 2.9781

Windham High School Windham SAU Office 95 2.0513

Windham Middle School Windham SAU Office 95 2.329

Pinkerton Academy Pinkerton Academy 202 8.2655

Prospect Mountain High School Prospect Mountain JMA 301 12.806