School Funding Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please list Students' information in your family who attends this school district.
Please list all the people living in the same home with you.
Please select your household's combined monthly income range.
$0
$1 - $2000
$2001 - $2500
$2501 - $3500
$3501 - $4500
$3501 - $4500
$4501 - $5500
$5501 - $6500
$6501 or more
Other
I agree with the following statements:
I certify that all the information provided on this form is true.
I understand that the school may receive state and federal funds based on the information I provide and that the information could be subject to review.
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Should be Empty: