Editing previous response:

Please fix the highlighted areas below before submitting.

Family Survey (LCFF) 2025-2026

Does your family/household participate in any of the following programs?*

Food Stamps, CalFresh, TANF, CalWorks, SNAP, Medicaid, Kin-GAP, FDPIR

Answer required for "Does your family/household participate in any of the following programs?"

Yes

How many people, total adults and children, live in your home/household?*

Answer required for "How many people, total adults and children, live in your home/household?"

Please list all students in the household who attend a Robla School:*

Please list the Student's Name, Grade, and the Name of the School

Answer required for "Please list all students in the household who attend a Robla School:"

Is Your Student a Foster Child?*

Answer required for "Is Your Student a Foster Child?"

Yes

Please enter the total monthly income earned by all members of your household*

Include all sources of income: gross wages, aid, welfare, pension, disability, and unemployment payments

Answer required for "Please enter the total monthly income earned by all members of your household"

Print Name Here*

Answer required for "Print Name Here"

Phone Number*

Number Required

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"