2021-22 Household Economic Survey
For your school to receive specific state and federal benefits and funding, you must fill out this form. Textbook, Enrollment, and Technology fees are waived for families who qualify--the HES determines qualification and is based on income and family size. Income Eligibility Guidelines >> https://bit.ly/3i5vdRR 

Do not complete this form if you are Directly Certified to receive free meals.

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Name *
Your first and last name
Email Address *
An email address that you check
How To Calculate Total Annual Income
Use your paycheck amount BEFORE taxes or any other deductions.
  If paid WEEKLY, multiply by 52
  If paid EVERY OTHER WEEK, multiply by 26
  If paid TWICE A MONTH, multiply by 24
  If paid MONTHLY, multiply by 12

This amount will equal your ANNUAL INCOME. Make sure to include work income, public assistance, child support, alimony, pension and retirement.
Enter the total annual income for all people in the household BEFORE any deductions for taxes, insurance, medical expenses, child support, etc. *
Enter the number of people in your household, including all children and adults. *
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