{"id":69850,"date":"2018-07-11T11:43:16","date_gmt":"2018-07-11T17:43:16","guid":{"rendered":"https:\/\/schools.graniteschools.org\/evergreenjr\/?page_id=69850"},"modified":"2019-07-13T07:48:18","modified_gmt":"2019-07-13T13:48:18","slug":"fee-waiver","status":"publish","type":"page","link":"https:\/\/schools.graniteschools.org\/evergreenjr\/fee-waiver\/","title":{"rendered":"Fee Waiver"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_8' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Fee Waiver Application<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/evergreenjr\/wp-json\/wp\/v2\/pages\/69850' data-formid='8' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_8_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Student Name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_1'>\n                            \n                            <span id='input_8_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_8_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_8_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_2\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_2'><span class='gform-field-label__text'>Student Number:<\/span><\/label><div class='ginput_container ginput_container_text' data-text-counter-max='7' data-text-counter-template='{current} of {max} max characters'><input name='input_2' id='input_8_2' type='text' value='' class='medium' maxlength='7' aria-describedby=\"gfield_description_8_2\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_8_2'>This is your student's 9 number. I f you don't know it, that is OK.<\/div><\/li><li id=\"field_8_3\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_8_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_8_3_1' value=''    aria-required='true'    \/>\n                                        <label for='input_8_3_1' id='input_8_3_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_8_3_3' value=''    aria-required='true'    \/>\n                                    <label for='input_8_3_3' id='input_8_3_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_3.4' id='input_8_3_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_8_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_8_3_5' value=''    aria-required='true'    \/>\n                                    <label for='input_8_3_5' id='input_8_3_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_3.6' id='input_8_3_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_8_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Grade Level:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_4'>\n\t\t\t<li class='gchoice gchoice_8_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='7th'  id='choice_8_4_0'    \/>\n\t\t\t\t<label for='choice_8_4_0' id='label_8_4_0' class='gform-field-label gform-field-label--type-inline'>7th<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='8th'  id='choice_8_4_1'    \/>\n\t\t\t\t<label for='choice_8_4_1' id='label_8_4_1' class='gform-field-label gform-field-label--type-inline'>8th<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='9th'  id='choice_8_4_2'    \/>\n\t\t\t\t<label for='choice_8_4_2' id='label_8_4_2' class='gform-field-label gform-field-label--type-inline'>9th<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_8_5\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Parent\/Guardian Name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_5'>\n                            \n                            <span id='input_8_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_8_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_8_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_6\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_6'><span class='gform-field-label__text'>Phone:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_8_6' type='tel' value='' class='medium'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_8_7\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_7'><span class='gform-field-label__text'>Email:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_8_7' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_8_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Please check if applicable:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_8_8'><li class='gchoice gchoice_8_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Student is eligible based on income verification (see table below)'  id='choice_8_8_1'   aria-describedby=\"gfield_description_8_8\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_1' id='label_8_8_1' class='gform-field-label gform-field-label--type-inline'>Student is eligible based on income verification (see table below)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Student receives &lt;strong&gt; (SSI)* Supplemental Security Income (qualified child with disabilities)&lt;\/strong&gt;'  id='choice_8_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_2' id='label_8_8_2' class='gform-field-label gform-field-label--type-inline'>Student receives <strong> (SSI)* Supplemental Security Income (qualified child with disabilities)<\/strong><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Family receives &lt;strong&gt;TANF&lt;\/strong&gt; &lt;i&gt;(currently qualified for financial assistance or food stamps)&lt;\/i&gt;'  id='choice_8_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_3' id='label_8_8_3' class='gform-field-label gform-field-label--type-inline'>Family receives <strong>TANF<\/strong> <i>(currently qualified for financial assistance or food stamps)<\/i><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Student is in &lt;strong&gt;Foster Care&lt;\/strong&gt; &lt;i&gt;(under Utah or local government supervision)&lt;\/i&gt;'  id='choice_8_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_4' id='label_8_8_4' class='gform-field-label gform-field-label--type-inline'>Student is in <strong>Foster Care<\/strong> <i>(under Utah or local government supervision)<\/i><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Student is in &lt;strong&gt;State Custody&lt;\/strong&gt;'  id='choice_8_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_8_5' id='label_8_8_5' class='gform-field-label gform-field-label--type-inline'>Student is in <strong>State Custody<\/strong><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_8_8'>Parent(s)\/guardian(s) will need to <strong>produce supporting documentation<\/strong> for each category that applies.\n<br>\n<br>\n*<i>Students who receive survivor benefits do not qualify for the SSI category listed above<\/i>\n<br>\n<br>\n<strong>Income Verification Table (Click to Enlarge):<\/strong>\n<a href=\"https:\/\/schools.graniteschools.org\/evergreenjr\/files\/2019\/07\/feewaiverexample2019-20.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/schools.graniteschools.org\/evergreenjr\/files\/2019\/07\/feewaiverexample2019-20.png\" alt=\"Eligibility Screen Shot 2018-19\" width=\"805\" height=\"196\" class=\"aligncenter \" \/><\/a><\/div><\/li><li id=\"field_8_9\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_9'><span class='gform-field-label__text'>Parent(s)\/guardian(s) shall provide income eligibility documentation in the form of income tax returns or current pay stubs demonstrating compliance with requirements consistent with state law and school district policies and\/or guidelines for all qualifiers. If none of the above apply, but you wish to apply for fee waivers or other help with school fees because of serious financial problems, please state the reason(s) for the request.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_8_9' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_8_11\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Fees:<\/h2><div class='gsection_description' id='gfield_description_8_11'>Please check the school fee schedule and list all fees that you wish to have waived. If your student is eligible for fee waivers, all of those fees will be waived. <i>[Please note that costs for yearbooks, class rings, letter jackets, school pictures, and similar items are <strong>not fees<\/strong> and will not be waived. Students may be required to pay fees for concurrent enrollment or advanced placement courses. The portion of the fees related specifically to college or post-secondary grades or credit is not subject to fee waiver.]<\/i><br>\n<br>\n<strong>If you wish to have all applicable fees waived, please check \"All Fees.\"<\/strong><\/div><\/li><li id=\"field_8_10\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_8_10'><li class='gchoice gchoice_8_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='All Fees'  id='choice_8_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_10_1' id='label_8_10_1' class='gform-field-label gform-field-label--type-inline'>All Fees<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_8_12\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_8_12'><li class='gchoice gchoice_8_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Basic Fee - $59'  id='choice_8_12_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_1' id='label_8_12_1' class='gform-field-label gform-field-label--type-inline'>Basic Fee - $59<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='7th grade CTE Intro - $10'  id='choice_8_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_2' id='label_8_12_2' class='gform-field-label gform-field-label--type-inline'>7th grade CTE Intro - $10<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Science Fee - $10'  id='choice_8_12_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_3' id='label_8_12_3' class='gform-field-label gform-field-label--type-inline'>Science Fee - $10<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_8_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Other Elective Fees (vary from $5 - $15)'  id='choice_8_12_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_12_4' id='label_8_12_4' class='gform-field-label gform-field-label--type-inline'>Other Elective Fees (vary from $5 - $15)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_8_14\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Total number of ALL PEOPLE living in the household:<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_14'>\n\t\t\t<li class='gchoice gchoice_8_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='1'  id='choice_8_14_0'    \/>\n\t\t\t\t<label for='choice_8_14_0' id='label_8_14_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='2'  id='choice_8_14_1'    \/>\n\t\t\t\t<label for='choice_8_14_1' id='label_8_14_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='3'  id='choice_8_14_2'    \/>\n\t\t\t\t<label for='choice_8_14_2' id='label_8_14_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='4'  id='choice_8_14_3'    \/>\n\t\t\t\t<label for='choice_8_14_3' id='label_8_14_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='5'  id='choice_8_14_4'    \/>\n\t\t\t\t<label for='choice_8_14_4' id='label_8_14_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_14_5'>\n\t\t\t\t<input name='input_14' type='radio' value='6'  id='choice_8_14_5'    \/>\n\t\t\t\t<label for='choice_8_14_5' id='label_8_14_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_14_6'>\n\t\t\t\t<input name='input_14' type='radio' value='7'  id='choice_8_14_6'    \/>\n\t\t\t\t<label for='choice_8_14_6' id='label_8_14_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_8_14_7'>\n\t\t\t\t<input name='input_14' type='radio' value='8'  id='choice_8_14_7'    \/>\n\t\t\t\t<label for='choice_8_14_7' id='label_8_14_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_8_65\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #1<\/h2><\/li><li id=\"field_8_15\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #1<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_15'>\n                            \n                            <span id='input_8_15_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.3' id='input_8_15_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_15_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_15_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.6' id='input_8_15_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_15_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_16\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_16'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #1:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_16' id='input_8_16' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_16\" \/><\/div><div class='gfield_description' id='gfield_description_8_16'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_17\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_17'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #1:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_8_17' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_17\" \/><\/div><div class='gfield_description' id='gfield_description_8_17'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_18\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_18'><span class='gform-field-label__text'>Monthly welfare, alimony, child support for household member #1:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_18' id='input_8_18' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_18\" \/><\/div><div class='gfield_description' id='gfield_description_8_18'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_19\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_19'><span class='gform-field-label__text'>Monthly other income, 2nd job, etc. for household member #1:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_19' id='input_8_19' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_19\" \/><\/div><div class='gfield_description' id='gfield_description_8_19'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_20\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_20'><span class='gform-field-label__text'>Total monthly income for household member #1:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_8_20' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_72\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #2<\/h2><\/li><li id=\"field_8_21\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #2<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_21'>\n                            \n                            <span id='input_8_21_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.3' id='input_8_21_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_21_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_21_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.6' id='input_8_21_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_21_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_22\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_22'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #2:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_22' id='input_8_22' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_22\" \/><\/div><div class='gfield_description' id='gfield_description_8_22'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_24\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_24'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #2:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_24' id='input_8_24' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_24\" \/><\/div><div class='gfield_description' id='gfield_description_8_24'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_25\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_25'><span class='gform-field-label__text'>Monthly welfare, alimony, child support for household member #2:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_25' id='input_8_25' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_25\" \/><\/div><div class='gfield_description' id='gfield_description_8_25'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_26\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_26'><span class='gform-field-label__text'>Monthly other income, 2nd job, etc. for household member #2:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_26' id='input_8_26' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_26\" \/><\/div><div class='gfield_description' id='gfield_description_8_26'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_27\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_27'><span class='gform-field-label__text'>Total monthly income for household member #2:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_8_27' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_71\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #3<\/h2><\/li><li id=\"field_8_28\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #3<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_28'>\n                            \n                            <span id='input_8_28_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_28.3' id='input_8_28_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_28_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_28_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_28.6' id='input_8_28_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_28_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_30\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_30'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #3:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_8_30' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_30\" \/><\/div><div class='gfield_description' id='gfield_description_8_30'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_29\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_29'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #3:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_29' id='input_8_29' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_29\" \/><\/div><div class='gfield_description' id='gfield_description_8_29'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_31\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_31'><span class='gform-field-label__text'>Monthly welfare, alimony, child support for household member #3:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_8_31' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_31\" \/><\/div><div class='gfield_description' id='gfield_description_8_31'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_32\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_32'><span class='gform-field-label__text'>Monthly other income, 2nd job, etc. for household member #3:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_32' id='input_8_32' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_32\" \/><\/div><div class='gfield_description' id='gfield_description_8_32'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_33\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_33'><span class='gform-field-label__text'>Total monthly income for household member #3:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_33' id='input_8_33' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_70\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #4<\/h2><\/li><li id=\"field_8_34\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #4<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_34'>\n                            \n                            <span id='input_8_34_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_34.3' id='input_8_34_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_34_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_34_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_34.6' id='input_8_34_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_34_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_35\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_35'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #4:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_35' id='input_8_35' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_35\" \/><\/div><div class='gfield_description' id='gfield_description_8_35'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_36\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_36'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #4:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_36' id='input_8_36' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_36\" \/><\/div><div class='gfield_description' id='gfield_description_8_36'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_37\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_37'><span class='gform-field-label__text'>Monthly welfare, alimony child support for household member #4:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_37' id='input_8_37' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_37\" \/><\/div><div class='gfield_description' id='gfield_description_8_37'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_38\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_38'><span class='gform-field-label__text'>Monthly other income, 2nd job, etc. for household member #4:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_38' id='input_8_38' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_38\" \/><\/div><div class='gfield_description' id='gfield_description_8_38'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_39\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_39'><span class='gform-field-label__text'>Total monthly income for household member #4:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_8_39' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_69\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #5<\/h2><\/li><li id=\"field_8_40\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #5<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_40'>\n                            \n                            <span id='input_8_40_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_40.3' id='input_8_40_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_40_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_40_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_40.6' id='input_8_40_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_40_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_41\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_41'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #5:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_41' id='input_8_41' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_41\" \/><\/div><div class='gfield_description' id='gfield_description_8_41'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_42\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_42'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #5:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_42' id='input_8_42' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_42\" \/><\/div><div class='gfield_description' id='gfield_description_8_42'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_43\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_43'><span class='gform-field-label__text'>Monthly welfare, alimony, child support for household member #5:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_43' id='input_8_43' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_43\" \/><\/div><div class='gfield_description' id='gfield_description_8_43'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_45\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_45'><span class='gform-field-label__text'>Monthly other income, 2nd job, etc. for household member #5:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_45' id='input_8_45' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_45\" \/><\/div><div class='gfield_description' id='gfield_description_8_45'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_46\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_46'><span class='gform-field-label__text'>Total monthly income for household member #5:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_46' id='input_8_46' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #6<\/h2><\/li><li id=\"field_8_47\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #6<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_47'>\n                            \n                            <span id='input_8_47_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_47.3' id='input_8_47_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_47_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_47_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_47.6' id='input_8_47_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_47_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_48\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_48'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #6:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_48' id='input_8_48' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_48\" \/><\/div><div class='gfield_description' id='gfield_description_8_48'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_49\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_49'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #6:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_49' id='input_8_49' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_49\" \/><\/div><div class='gfield_description' id='gfield_description_8_49'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_50\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_50'><span class='gform-field-label__text'>Monthly welfare, alimony, child support for household member #6:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_50' id='input_8_50' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_50\" \/><\/div><div class='gfield_description' id='gfield_description_8_50'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_51\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_51'><span class='gform-field-label__text'>Monthly other income, 2nd job, etc. for household member #6:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_51' id='input_8_51' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_51\" \/><\/div><div class='gfield_description' id='gfield_description_8_51'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_52\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_52'><span class='gform-field-label__text'>Total monthly income for household member #6:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_52' id='input_8_52' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_67\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #7<\/h2><\/li><li id=\"field_8_53\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #7<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_53'>\n                            \n                            <span id='input_8_53_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_53.3' id='input_8_53_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_53_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_53_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_53.6' id='input_8_53_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_53_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_54\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_54'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #7:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_54' id='input_8_54' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_54\" \/><\/div><div class='gfield_description' id='gfield_description_8_54'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_55\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_55'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #7:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_55' id='input_8_55' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_55\" \/><\/div><div class='gfield_description' id='gfield_description_8_55'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_56\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_56'><span class='gform-field-label__text'>Monthly welfare, alimony, child support for household member #7:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_56' id='input_8_56' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_56\" \/><\/div><div class='gfield_description' id='gfield_description_8_56'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_57\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_57'><span class='gform-field-label__text'>Monthly ther income, 2nd job, etc. for household member #7:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_57' id='input_8_57' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_57\" \/><\/div><div class='gfield_description' id='gfield_description_8_57'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_58\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_58'><span class='gform-field-label__text'>Total monthly income for household member #7:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_58' id='input_8_58' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_66\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Household Member #8<\/h2><\/li><li id=\"field_8_59\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Household Member #8<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_59'>\n                            \n                            <span id='input_8_59_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_59.3' id='input_8_59_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_59_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_59_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_59.6' id='input_8_59_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_59_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_8_60\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_60'><span class='gform-field-label__text'>Monthly earnings from work (before deductions) of Job 1 for household member #8:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_60' id='input_8_60' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_60\" \/><\/div><div class='gfield_description' id='gfield_description_8_60'>Wages, salaries and tips, strike benefits, unemployment comp., workers\u2019 comp, net income from self-owned business or farm<\/div><\/li><li id=\"field_8_61\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_61'><span class='gform-field-label__text'>Monthly pension, retirement, social security for household member #8:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_61' id='input_8_61' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_61\" \/><\/div><div class='gfield_description' id='gfield_description_8_61'>Pensions, supplement, security income, retirement payments, Social Security Income (including SSI a child receives)<\/div><\/li><li id=\"field_8_62\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_62'><span class='gform-field-label__text'>Monthly welfare, alimony, child support for household member #8:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_62' id='input_8_62' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_62\" \/><\/div><div class='gfield_description' id='gfield_description_8_62'>TANF payments, welfare payments, alimony, and child support payments<\/div><\/li><li id=\"field_8_63\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_63'><span class='gform-field-label__text'>Monthly other income, 2nd job, etc. for household member #8:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_63' id='input_8_63' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_8_63\" \/><\/div><div class='gfield_description' id='gfield_description_8_63'>Disability benefits; cash withdrawn from savings; interest &amp; dividends; income from estates, trusts, and investments, regular contributions from persons not living in the household; net royalties and annuities; net rental income; any other income<\/div><\/li><li id=\"field_8_64\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_64'><span class='gform-field-label__text'>Total monthly income for household member #8:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_64' id='input_8_64' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_79\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_8_75\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_75'><span class='gform-field-label__text'>Total monthly income for entire household:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_75' id='input_8_75' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_8_78\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Signature<\/h2><div class='gsection_description' id='gfield_description_8_78'>A parent\/guardian must apply for a fee waiver within thirty (30) school days after the first day of school.\n<br><br>\nA student who enters the school any time during the school year also has thirty (30) school days in which to\napply for a fee waiver.\n<br><br>\nA student whose family has a financial emergency caused by job loss, major illness or other substantial loss of income, has thirty (30) school days from the qualifying event in which to apply for a fee waiver. In this case only those fees assessed after application has been made will be waived. Fees paid previously will not be reimbursed.\n<br><br>\nAll fee payments will be suspended until the school has determined if your student is eligible for fee waivers. You will then be given a written notice of that decision. The school shall require you to prove eligibility. State law requires schools or school districts to require DOCUMENTATION of fee waiver eligibility if parent must \u201capply for fee waivers.\u201d State law also requires that school districts provide alternatives in lieu of fee waivers, \u201cto the fullest extent reasonably possible according to individual circumstances of both fee waiver applicant and school,\u201d consistent with local board policies and\/or guidelines which may include tutorial assistance to other students, assistance before or after school to teachers and other school personnel on school related matters, and general community or home service. If your student is eligible for a waiver, the school cannot require you to agree to an installment payment plan or sign an IOU in place of a waiver.<\/div><\/li><li id=\"field_8_76\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_76'><span class='gform-field-label__text'>I HEREBY CERTIFY THAT THE INFORMATION AND DOCUMENTATION I HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO GIVE SCHOOL OFFICIALS PERMISSION TO USE THIS FORM AS A RELEASE TO OBTAIN INFORMATION NECESSARY FOR VERIFICATION OF ELIGIBILITY.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_8_76' type='text' value='' class='medium'  aria-describedby=\"gfield_description_8_76\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_8_76'>Parent digital signature (Please type your name)<\/div><\/li><li id=\"field_8_77\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_77'><span class='gform-field-label__text'>Date:<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_8_77'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_77'\n\t\t\t\t\tvalue='09\/20\/2026'\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_8_77' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_8_77' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_8_77' aria-label='Date:: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_8_81\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Documentation<\/h2><div class='gsection_description' id='gfield_description_8_81'>To complete the application process, parent(s)\/guardian(s) shall provide income eligibility documentation in the form of <strong>income tax returns<\/strong> or <strong>current pay stubs<\/strong> demonstrating compliance with requirements consistent with state law and school district policies and\/or guidelines for all qualifiers. This can be brought to West Lake during the initial registration event on August 9th from 9:00 AM to 3:00 PM, or August 10th from 12:00 PM to 6:00 PM, or during office hours after that.  Also, <strong>a digital file or picture of the documentation can be uploaded to this form (below).<\/strong>\n<br>\n<br>\nIn lieu of income verification, parent(s)\/guardian(s) may bring supporting documents to the school for each special category that applies. For TANF (financial assistance or food stamps) attach a letter of decision covering the current period from Workforce Services. For SSI (QUALIFIED CHILD WITH DISABILITIES), attach the benefit verification letter from Social Security. For State custody or foster care, provide the \u201cyouth in custody required intake form\u201d and\/or \u201cschool enrollment letter\u201d provided by the case worker from DCFS or Juvenile Justice Department.\n<br>\n<br>\nThis form and all supporting documents will be destroyed after the approval process is complete.<\/div><\/li><li id=\"field_8_80\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_80'><span class='gform-field-label__text'>Documentation Upload (Front)<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='12288000' \/><input name='input_80' id='input_8_80' type='file' class='medium' aria-describedby=\"gfield_upload_rules_8_80\" onchange='javascript:gformValidateFileSize( this, 12288000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_8_80'>Max. file size: 12 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_8_80'><\/div> <\/div><\/li><li id=\"field_8_82\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_82'><span class='gform-field-label__text'>Documentation Upload (Back - If Needed)<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='12288000' \/><input name='input_82' id='input_8_82' type='file' class='medium' aria-describedby=\"gfield_upload_rules_8_82\" onchange='javascript:gformValidateFileSize( this, 12288000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_8_82'>Max. file size: 12 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_8_82'><\/div> <\/div><\/li><li id=\"field_8_84\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_84'><span class='gform-field-label__text'>File<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='12288000' \/><input name='input_84' id='input_8_84' type='file' class='large' aria-describedby=\"gfield_upload_rules_8_84\" onchange='javascript:gformValidateFileSize( this, 12288000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_8_84'>Max. file size: 12 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_8_84'><\/div> <\/div><\/li><li id=\"field_8_86\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_8' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_8' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_8' id='gform_theme_8' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_8' id='gform_style_settings_8' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_8' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='8' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='szGhN53m3vjpOmo9B43wfXP\/KYl9xg+J1EdVp\/Lj3U072NSiNjA0+nSGrSOB+DzTxOK5yrwIPa5Dp7GNrj0PEbsts4Xw+oCxNxRJr7yOO+ADhi0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_8' 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