Fort Cobb

Please Fill Out The School Year 2022-2023 Economically Disadvantaged Form (One form required per household) Below

School Year 2021 - 2022 Economically Disadvantaged Form

This application should be completed even if your student attends a Community Eligibility Provision or Provision School.

School: Fort Cobb-Broxton School

Signature: I certify that all information provided on this form is true to the best of my knowledge and that all household income is reported. I understand that this information will impact federal and state funding to the school. Parent/Guardian Signature:

Date:

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FORT COBB BROXTON SCHOOLS

School Year 2022-2023 Economically Disadvantaged Form (One form required per household)