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2021-22 Family Income Survey

Dear Parent/Guardian:

Schools receive certain federal and state funding (Learning Assistance Program, teacher incentives, etc.) based on the number of children from households that are at or below the federal poverty level. This Family Income Survey provides your child’s school a way to collect household income information. This information makes sure your child’s school receives the full amount of federal and state funding and makes sure your child receives services they are entitled to when free/reduced price applications are not collected.

It is important that you complete this survey. Please complete and return this form to Wishkah Valley School. You can also complete this form, scan it and email it to wolson@wishkah.org 

2021-22 Family Income Survey

Parental Release of Information Form CONSENT TO SHARE CHILD NUTRITION PROGRAM ELIGIBILITY INFORMATION