Willow Oak Montessori Household Income Survey 2017-2018
As a charter school that does not participate in the Federal Child Nutrition Program, we are required to collect household income data annually for reporting to the State of North Carolina. Please complete the survey below promptly. The data entered here is submitted directly to the Head of School and will be used for valid confidential reporting purposes only. Thank you for your cooperation.
I, (please type name below), am the parent/legal guardian of a student(s) enrolled at Willow Oak Montessori for the 2017-2018 school year. *
Name of Parent/Guardian
Your answer
Student Names
Please provide the first and last name for each child in your family that is a WOM Charter student below.
WOM Student 1 First Name *
Your answer
WOM Student 1 Last Name *
Your answer
WOM Student 2 First Name
if applicable
Your answer
WOM Student 2 Last Name
if applicable
Your answer
WOM Student 3 First Name
if applicable
Your answer
WOM Student 3 Last Name
if applicable
Your answer
WOM Student 4 First Name
if applicable
Your answer
WOM Student 4 Last Name
if applicable
Your answer
Household Size
Please select the total number of people in your household. *
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