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Household Information Form

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Household Information Form for Educational Benefits, Grants, and Reporting

Purpose: Forest Hills School District provides breakfast and lunch at no cost to all students. Because families are no longer required to complete meal benefit applications, the District is asking families to voluntarily complete this brief household information form.

The information collected will help the District accurately report student needs, apply for grants, plan programs, and connect families with available school and community resources. This form is not a free or reduced-price meal application and does not affect your child’s ability to receive breakfast or lunch at school.

Information will be kept confidential and used only for educational reporting, planning, grant, and student support purposes. Reports shared outside the District will use only summary data.

Please complete one form per household.

1.  Parent/Guardian Information

2.  Forest Hills Students in the Household

3.  Household Size

How many people, including children and adults, live in your household and share income and expenses?
Answer required for "How many people, including children and adults, live in your household and share income and expenses?"

4.  Household Income Information

Please review the chart below and select the statement that best describes your household's total gross annual income before taxes and deductions.  USDA defines income for school meal eligibility purposes as income before deductions such as taxes, Social Security taxes, insurance premiums, and other deductions.  The 2026-2027 income eligibility guidelines are effective July 1, 2026, through June 30, 2027.

Annual Household Income Guide - 2026-2027

Household Size                                                        Column A                                            Column B

1                                                                                  $20,748 or less                                  $29,526 or less

2                                                                                  $28,132 or less                                  $40,034 or less

3                                                                                  $35,516 or less                                  $50,542 or less

4                                                                                  $42,900 or less                                  $61,050 or less

5                                                                                  $50,284 or less                                  $71,558 or less

6                                                                                  $57,668 or less                                  $82,066 or less

7                                                                                  $65,052 or less                                  $92,574 or less

8                                                                                  $72,436 or less                                  $103,082 or less

Each additional household member                          Add $7,384                                          Add $10,508

Please check one:
Answer required for "Please check one:"

5.  Public Benefits or Assistance Programs

Does anyone in your household currently receive any of the following? Check all that apply.
Answer required for "Does anyone in your household currently receive any of the following? Check all that apply."

6.  Basic Household Needs

In the past three months, how often has your household had difficulty paying for basic expenses such as food, housing, utilities, transportation, childcare, medical care, school supplies, clothing, or activity fees?
Answer required for "In the past three months, how often has your household had difficulty paying for basic expenses such as food, housing, utilities, transportation, childcare, medical care, school supplies, clothing, or activity fees?"

7.  Area of Need

Which of the following have been difficult for your household to afford during the past six months? Check all that apply.
Answer required for "Which of the following have been difficult for your household to afford during the past six months? Check all that apply."

Parent/Guardian Certification

I certify that the information provided is true and accurate to the best of my knowledge.  I understand that this form is voluntary and will be used for educational reporting, planning, grant applications, and student/family support purposes.

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