Clearinghouse for Multilingual Documents (CMD)

Original English Document:

Household Income Data Collection Sample Form 1

Topic:

School Funding

Program(s):

Local Control Funding Formula
Parents

Description:

This form collects information for multiple children in a household. Parents/guardians would calculate their annual income and select among income ranges. Please note that LEAs need to update the form annually to reflect the Household Size and Income Eligibility data located on the California Department of Education's School Nutrition Programs Eligibility Materials Web page at http://www.cde.ca.gov/ls/nu/sn/eligmaterials.asp. Category 1 is the range for free meals and category 2 is the range for reduced-price meals.

English Document:

English Document (Report a broken link.)

Language of Translated Document:

Chinese (traditional)

Translator Type:

Translation Service

File Format of Translated Document:

Electronic – Word (.doc)

Font used in translated document (e.g., Arial, Times New Roman, Gulim):

PMingLiU

Revised/updated as of:

10/24/2014

Translated Document:

Chinese (traditional) Document (Report a broken link.)

Comments about the Translated Document:

Sample 1 form in traditional Chinese Revised Oct. 24, 2014

Document Reference ID:

8676