Socioeconomic Information Form

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All information on this document is confidential. Buckholts ISD is required to collect and report the socioeconomic status of each student to the Texas Education Agency for purposes of the annual state accountability ratings and for federal reporting. Please note that this form is not sent to the Texas Education Agency and that income levels indicated for your family are not reported to the Texas Education Agency. Only the Economic Disadvantage status of each student as determined by the information provided is reported to the Texas Education Agency.

Email *

Student Name *

Grade *

Date of Birth *

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