Families: Complete a Household Survey to Help Your School Maximize Its Funding
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State & Federal Revenue Depends On The Return Of This Form!
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Will This Form Be Kept Confidential? - Yes
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Do I Need to Fill Out The Form For Each Child? No, One Form Per Household
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Do I need to fill out the form if I already qualify for Food Stamps, CalWORKS, KinGAP, or FDPIR? - No
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Dear Parents, Guardians, and Families,
Thank you for being a part of a successful start to the 2021-2022 school year! We truly appreciate your support of our students and schools.
Under the Local Control Funding Formula (LCFF), a portion of state funding will be determined based on the demographics of the student population, with higher funding on a per student basis for districts like Â鶹ÉçÇø that have large concentrations of low-income, English learners, and foster youth populations. Therefore, we are required to establish and confirm the number of students that represent these student groups by having families complete the Household Survey. By taking the time to fill out this form you are taking part in a process that provides thousands of dollars in funds to the school your student attends. Only one Household Survey needs to be filled out per household and the information collected is confidential.
Our goal is to ensure that Â鶹ÉçÇø's students receive the maximum amount of funds that we are eligible to receive by encouraging our families to complete the Household Survey. To receive the maximum amount, we must have 100% of eligible students/families complete the form.
By completing the Household Survey and turning it in as soon as possible, you will help our schools reach the goal of getting funds to support our students academic achievement, creating equitable learning environments, and building partnerships to develop leadership at all levels. Thank you for your time and support.
The form can be completed online at the following link:
Household Income Form FAQ
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How does the free/reduced-priced meal program affect school funding?
Every student who is under a certain income, learning English, or in foster care generates 20% more funding. In districts where at least 55% of students fall into these categories, they receive even more funding. In Â鶹ÉçÇø Union School District, additional dollars are given to each school to increase or improve services for these students. Completing the Household Income Form ensures your school receives all available funds.
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Why is my school requesting completion of a Household Income Form instead of the National School Lunch Program Application?
Normally, families complete a National School Lunch Program (NSLP) application to determine whether they qualify for free or reduced priced meals under the National School Lunch Program. Due to COVID- 19, the United States Department of Agriculture (USDA) issued nationwide waivers to allow for the operation of the Summer Meal Program through June 2022. This program allows LEA’s to provide free meals to every student for the 2021-22 school year. However, while operating under the Summer Meal Program for 2021-22, LEA’s cannot collect NSLP applications. For 2021-22, LEA’s must collect Alternative Households Income Forms to determine whether a child would have qualified for free or reduced priced meals. Local Educational Agency (LEA) gather this critical information to determine state funding under the Local Control Funding Formula.
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Do I need to fill out an application for each child?
No, you can fill out one form for multiple children in the same household.
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Can a parent/guardian choose not to complete the Household Income Form?
Yes, a parent/guardian may choose not to complete the Household Income Form. Such parents/guardians
should write “Decline to Complete” across the form, complete the student name section, sign the form and
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If parents/guardians express concern about the confidentiality of the information requested on the Household Income form, what should they know?
Our system is confidential. Parents/guardians can be assured that the information collected is confidential and for use in the District only.
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Do I still need to fill out a form if I qualify for other benefits?
No. If you are currently receiving food stamps, CalWORKS, KinGAP or FDPIR benefits and your information has not changed, your child automatically qualifies.