Federal Survey Cards

We ask that you assist Hampton City Schools by taking a moment to complete this year’s 2020 Federal Impact Aid Survey Card. Hampton City Schools receives additional Federal funding for ALL students as a result of this survey. We appreciate your assistance in completing a survey card for each child. We have provided you with an electronic fillable .pdf survey card that we ask you to complete and return to each of your child’s schools.

We ask for the following information to complete the card;

In Section 1, Please provide your child’s NAME (last, first, middle initial), DATE OF BIRTH, SCHOOL, GRADE, ADDRESS, CITY, STATE ZIP CODE and HOME PHONE NUMBER. The card asks you do you live on either Federal Property or in a Federally Subsidized Housing address.

In Section 2, ONLY NEEDS TO BE COMPLETED IF THE PARENT/STEPPARENT/GUARDIAN IS ACTIVE DUTY MILITARY OR NATIONAL GUARD. If not, no information is needed and you can move to Section 3.

In Section 3, Please list the name of the Parent/Stepparent/Guardian and their employer and employer address. Parents who are employed by the Federal Government, work on Federal Property, or otherwise federally connected need to ensure a physical address is included on the survey. After completing Section 3 of the survey card, please sign (electronically), date the card and return to your child’s teacher.

Physical cards are available for completion at all Meal Distribution Sites and at each of your child’s school if you are having difficulty completing the electronic survey. Please return these cards to a meal distribution site or to your child’s school directly.

We do sincerely appreciate your attention to completing the survey and returning them in a timely manner. If assistance is needed, please contact your child’s school. A staff member will be happy to help.