Income Survey

1-866-968-7032 | Virtual Meeting Rooms | Email | Access Courses

Income Survey

Parents/Guardians and Students Over 18: The Federal Government E-Rate and Title-I Programs can directly provide our schools with funding for technology and student services based on this information. This information will remain confidential.

Student's Name(*)

Invalid Input

Student's School(*)

Quaker Digital

Quaker Prep

Invalid Input

Does your family/household qualify for any of the following programs:

Supplemental Food Assistance (SNAP / Food Stamps)

Invalid Input

Medical Assistance Under Medicaid

Invalid Input

Supplementary Security Income (SSI)

Invalid Input

Home Energy Assistance (LIHEAP)

Invalid Input

Section 8 Housing Assistance

Invalid Input

Please enter the total number of people living in the household.(*)

Please enter a number from 1-99.

Total Household Income and Frequency.(*)

Please enter a numeric value.

Frequency(*)

Invalid Input

Income Survey

Quick Links