Bokoshe Public School

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Dear Parents:

We need your help to complete our Impact Aid application!

Data gathered with the attached survey will provide us the information needed to file our application for funding through this federal program. The Impact Aid program could produce significant revenue that would enhance the educational opportunities for children attending Bokoshe Public Schools.

We hope you will take a moment to respond to the survey, and return the survey form to your child’s school as soon as possible. You can be assured that the individual information you provide will be held in strict confidence.

Thank you in advance for your help in this important effort to provide increase.

Bokoshe Public School

Child's Legal First Name

Child's Legal Last Name

Date of Birth:

Gender

Female

Male

Grade

Home Street Address

Ethnic Group:

Caucasian

African American

Hispanic

Asian

Native American

Other

Parent/Guardian

Student's Address (Street and City only)

In the above property address is it::

Reaquired field: On Restricted or Trust

Reaquired field: A Choctaw Tribal Housing Authority or Property

Other Information

Required Fields

Impact Aid Survey Form