Your name
*How many persons in your household (include yourself):
Annual household income (including ANY income here such as benefits, disability, social security, or other cash assistance, child support, alimony, payments from structured settlements, etc, before tax):
*With the exception of retirement account(s) like an IRA, pension, or 401(k), do you have investments/ investment accounts:
Do you have cash savings in excess of $25,000?
Are there any other adults who share custody of your children and/or who are responsible for a significant portion of their care who ARE NOT included in the household?
If yes, please answer the above questions for each of those persons:
Please describe your housing situation (do you rent or own, etc)?
Certifications:
By submitting this, I hereby certify that all information I’ve provided is true and accurate to the best of my knowledge. I understand that while I am not required to submit verification of this information at this time, Parts & Crafts reserves the right to request it. I further understand that any assistance I am offered is only for the time frame and program specified. Scholarships and financial assistance is largely grant and fundraiser funded, and these amounts vary year to year.
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