Impact Aid Survey for Lee County Schools - 2021-2022
To be completed for each pupil enrolled in Lee County School District. Give all information as it was true on the official survey date of November 15, 2021. Parent includes Father, Mother, Step-Father, Step-Mother, Legal Guardian, or Person standing in LOCO PARENTIS.

Please fill out this survey for each of your children separately.

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School *
Homeroom Teacher (Last Name) *
Student’s Last Name *
Student's First Name *
Student's Middle Initial *
Street Address *
City *
Student's Date of Birth *
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DD
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Student Grade Level *
Was the student enrolled at this school on NOVEMBER 15, 2021 *
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