Laundry Day Application
Please complete all information accurately. Applications will be processed on a first come, first serve basis. Once application has been approved, you will be contacted with a time slot for the laundry day event. Applicants MUST be a current student or have a student in the district. Limited spots are available. 

**Applications will be denied if not completed thoroughly and accurately. 
Email *
Name of Applicant  *
Current Address *
Contact Number *
Marital Status *
Employment Status *
Do You Receive Any of the Following? *
Required
Please List the Amounts of all Expenses (Rent, Phone, Gas, Electric, Internet, Etc)  *
Have You Attended a Laundry Day Event Before? *
How Many Adults (over 18) in the Household? *
List Employment for Additional Adults in Household (N/A if no other adults are in the home) *
List Ages of Children (under 18) in Household *
Full Name of Student(s) & School Name *
Please Sign Your Name Below if All Information is Correct *
Date Application was Completed *
MM
/
DD
/
YYYY
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