DeSales Catholic School Family Survey 2020-21
Parent Name:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Public school district in which you reside:
List names and current grade levels of all your children attending DeSales:
Check a box below if your family's income is less than or equal to any of the amounts listed next to your household size. (Household size includes all adults and children living in the same residence) :
Household Size: 2 - Annual Gross Income: $31,894
Household Size: 3 - Annual Gross Income: $40,182
Household Size: 4 - Annual Gross Income: $48,470
Household Size: 5 - Annual Gross Income: $56,758
Household Size: 6 - Annual Gross Income: $65,046
Household Size: 7 - Annual Gross Income: $73,334
Household Size: 8 - Annual Gross Income $81,622
Our household qualifies for Food Stamps
Yes
No
Our household qualifies for Temporary Assistance to Needy Families (TANF)
Yes
No
Submit
Should be Empty: