Project GRACE

Back-to-School Assistance Application

* Required information

PLEASE READ: Instructions for Completing the Form.

  • Please click on the blue 'add' button below to tell us what is needed. Click the 'add another' button until you have registered all of your children who need school supplies. After you have told us what your children need, then continue to complete the parent / adult section. At the end of this form you must click the blue 'register' button to send the form.

  • Questions? Please email or call us at 883-5111. If you need to sign up more than 6 kids, please call or email us for instructions.

Student / Child - Click Blue "Add" Button

You may add a maximum of 6

Adult / Parent Information

  • In this section, please give the ADULT's information. Enter info about your children in the STUDENT section above (click the add button to start).

  • *
  • *
  • *
  • *
  • *
  • *
  • *

Household Information (Optional)

  • This section is optional, but helps us apply for grants and community support and plan our programs. We appreciate your willingness to share your personal information and will keep your answers confidential.

  • Is your family signed up for the weekly food 'backpacks' from school nutrition?

Code Name

  • If you already have a Project GRACE code name, please enter it here. If you do not have or can't remember your code name, please leave blank.