Family Survey (LCFF) 2025-2026 Please enable JavaScript in your browser to complete this form.Does your family/household participate in any of the following programs? *YesNoFood Stamps, CalFresh, TANF, CalWorks, SNAP, Medicaid, Kin-GAP, FDPIR participate Name Signature How many people, total adults and children, live in your home/household? *Please list all students in the household who attend a Robla School: *Please list the Student’s Name, Grade, and the Name of the SchoolIs your student a foster child? *YesNoPlease enter the total monthly income earned by all members of your household *Include all sources of income: gross wages, aid, welfare, pension, disability, and unemployment paymentsPrint Name Here *FirstLastPhone *Signature * Clear Signature Submit
