Maximize Your School's Funding - School Benefits Form: 2023-24

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Please complete this form, for every Santee School District child in your home, to maximize programs and services for your school.

BENEFITS:

*Maintain a commitment to excellence

*Fund intervention and counseling staff

*Fund technology

*Continue to provide current instructional materials

PLEASE REMEMBER to click Submit after all questions have been answered.

Parent/Guardian Email Address

Parent/Guardian Contact Phone Number

Parent/Guardian First Name *

Parent/Guardian Last Name *

Student First Name *

Student Last Name *

Student ID Number in Powerschool (*same number used for meal service and also found on back of student IPAD) *

Student's School of Attendance *

Student's Grade Level *

Do you receive food stamps, CalWORKs (California Work Opportunity and Responsibility to Kids) or FDPIR (Food Distribution Program on Indian Reservation) for your student? *

Yes

Is this student a foster youth, or a child who is the legal responsibility of a welfare agency or the court? *

Yes

(T3) Is your household income less than or equal to the amounts shown on this chart for your household size? *

Yes

(R) Is your household income less than or equal to the amounts shown on this chart for your household size? *

Yes

(F) Is your household income less than or equal to the amounts shown on this chart for your household size? *

Yes

Do you have another Santee School District child in your family? *

Yes

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