Free and Reduced Lunch Survey 2021-2022

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Due to the COVID-19 pandemic, all students in Texas are receiving free breakfast and lunch throughout the 2021-2022 school year. As a result we are using this income survey to determine if your student would have qualified for free/reduced price meals resulting in additional benefits for Zephyr ISD students.

Parent First Name *

Parent Last Name *

Student Full Name *

Student Full Name (2nd student in your house)

Student Full Name (3rd student in your house)

Student Full Name (4th student in your house)

Student Full Name (5th student in your house)

Student Full Name (6th student in your house)

How many total people are in the home (children and adults) *

12 or more

Please select the total yearly income (before deductions) of all members in the home: *

We make less than ______ a year.

$23,828

$32,227

$40,626

$49,025

$57,424

$65,823

$74,222

$82,621

$91,020

$99,419

$107,818

$116,217 or more

I chose not to provide this information

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