Robla New Hope
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Family Survey (LCFF) 2024-2025
Family Survey (LCFF) 2024-2025
Does your family/household participate in any of the following programs?
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Food Stamps, CalFresh, TANF, CalWorks, SNAP, Medicaid, Kin-GAP, FDPIR
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Yes
No
How many people, total adults and children, live in your home/household?
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Please list all students in the household who attend a Robla School:
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Please list the Student's Name, Grade, and the Name of the School
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Is Your Student a Foster Child?
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No
Please enter the total monthly income earned by all members of your household
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Include all sources of income: gross wages, aid, welfare, pension, disability, and unemployment payments
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Print Name Here
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