Impact Aid Survey — Colorado Military Child Hub

★ Annual Federal Survey

Impact Aid
Parent Survey

This 2-minute survey determines federal funding for your child's school. Your response is voluntary, confidential, and makes a direct difference.

~$2,500

Per eligible student / year

2 min

To complete this form

$320M+

Annual CO Impact Aid at stake

🔒 Your privacy is protected. This data is collected by the Aurora Chamber as an authorized processor for your school district, used solely to calculate Impact Aid funding. It is never shared with immigration authorities or used for any other purpose.

Step 1 of 4 — Student Information 25%

Step 1 of 4

Student Information

Please provide information for the student you are enrolling in the Impact Aid count. Complete a separate form for each child if they attend different schools.

First Name *

Please enter the student's first name.

Last Name *

Please enter the student's last name.

Grade Level *

Please select a grade level.

School Year *

Please select the school year.

School District *

Please select your school district.

Please type your district name *

Please enter your district name.

School Name * (specific school your child attends)

Please enter the school name.

Does your child live on federal property (e.g., a military base or installation)? *

Yes — lives on base / federal property

No — lives off base

Please select an option.

Step 2 of 4

Parent or Guardian Information

This information is used to verify your eligibility and route your submission to the correct district coordinator.

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Relationship to Student *

Please select your relationship to the student.

Email Address (optional — used only to send your confirmation copy)

Please enter a valid email address.

Phone Number (optional)

Step 3 of 4

Military & Federal Status

This is the core of the Impact Aid survey. Please select the option that best describes the parent or guardian's employment status.

Employment / Service Status *

Active Duty
Full-time service in Army, Navy, Air Force, Marine Corps, Space Force, or Coast Guard

National Guard or Reserves
Any component, regardless of current activation status

DoD Civilian Employee
Civilian employee of the Department of Defense

Federal Civilian Employee (non-DoD)
Employed by any other federal agency (VA, DHS, USPS, etc.)

Surviving Dependent
Child of a servicemember who died on active duty

Please select an option.

Branch of Service *

Please select a branch.

Federal Agency *

Please enter the agency name.

Not sure if you qualify? If any parent or guardian in the household is currently serving or federally employed — even if deployed, on TDY, or in a reserve status — you likely qualify. When in doubt, submit the form and the district coordinator will verify eligibility. Contact [email protected] with questions.

Step 4 of 4

Certification & Signature

Please review the certification statement and sign below. By signing, you confirm the information you've provided is accurate to the best of your knowledge.

Certification Statement

I certify that the information provided in this survey is true and accurate to the best of my knowledge. I understand that this information will be used by my child's school district to apply for federal Impact Aid funding under the Elementary and Secondary Education Act (20 U.S.C. § 7701 et seq.). I understand that this survey is voluntary and that my response is confidential. I understand that providing false information may affect the district's federal funding.

Review Your Submission

Electronic Signature *

Sign here →

Please type your full name as your electronic signature.

By typing your name above, you are providing an electronic signature that is legally equivalent to a handwritten signature under Colorado law.

Date *

Please enter today's date.

I confirm that the information above is accurate and I consent to this data being processed by the Aurora Metro Chamber of Commerce as an authorized data processor for my school district, solely for the purpose of calculating Impact Aid funding.

✅

Survey Submitted!

Thank you for completing the Impact Aid Survey. Your submission has been recorded and will be submitted to your school district's Impact Aid coordinator.

Confirmation ID

—

If you provided an email address, a confirmation copy will be sent to you. If you have children at other schools, please submit another form for each school.

Questions? [email protected] · (303) 344-3400