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Income Based Services Request

Ensuring that our students have access to every opportunity is a priority for our district. The purpose of the Income Based Services Request is to determine eligibility for income based programs and benefits.  If your family wishes to be considered for services that are based on income, please complete this form and submit it to your school.  If you have a direct certification letter that was mailed to your home, you do not need to complete this form.  The letter can serve as income verification. This information will be considered confidential and will only be used to determine program eligibility.