2022 BACK TO SCHOOL PRE REGISTRATION
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Please fill out all required information below or you WILL NOT be able to move to the next question. Please skip any non required questions that do not pertain to you. Make sure to electronically sign and submit when you are finished or you will not be registered and will not be able to pick up your school supplies or backpack.  You HAVE to attend registration IN PERSON to get assigned a shopping date and to pick up your school supplies and backpack(s).
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PRIVACY RELEASE FORM for People to People Ministries
This form will act as your Privacy Release Form which is authorization to obtain and release of information. At the bottom of this form you will sign and submit this form and give us permission to release or exchange information with government/social agencies. This information collected will only be used to approve or deny for our Back to School Project 2022.
When signing up for Back to School -  YOU WILL STILL NEED TO SCHEDULE AN APPOINTMENT when the time comes.  (JULY 18-22 & JULY 25-27 of 2022) *
Required
Please check all boxes below if you have all current documentation. *
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Are you a client of Ohio Department ofJobs and Family Services (ODJFS)? (This means you receive food stamps, medicaid, or income from ODJFS) If you are not sure and feel you are below the 200% poverty level and want to see if you qualify please contact ODJFS, Jennifer Kearns (330)-287-5846.   *
Do you  meet  the JFS 200% Poverty Guidelines per Month
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Total People living in your household *
How many adults (ages 19 to 59) live in your household ? *
How many Seniors (ages 60+) live in your household ? *
How many children in your LEGAL custody (ages 0 - 18) live in your household? *
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