Families: Complete a Household Survey to Help Your School Maximize Its Funding

  • State & Federal Revenue Depends On
    The Return Of This Form!
  • Will This Form Be Kept
    Confidential? - Yes
  • Do I Need to Fill Out The Form For Each Child?
    No, One Form Per Household
  • Do I need to fill out the form if I already qualify for
    Food Stamps, CalWORKS, KinGAP, or FDPIR? - No
  • 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

  • How does the free/reduced-priced meal program affect school funding?

  • Why is my school requesting completion of a Household Income Form instead of the National School Lunch Program Application?

  • Do I need to fill out an application for each child?

  • Can a parent/guardian choose not to complete the Household Income Form?

  • If parents/guardians express concern about the confidentiality of the information requested on the Household Income form, what should they know?

  • Do I still need to fill out a form if I qualify for other benefits?