Angel Network Family Intake Form
Angel Network assists families with one or more children in the Cooperstown Central School District. If you would like to be considered an "Angel Family" please complete this intake form and a representative from the Angel Network will contact you.   You can also contact your child's school counselor. Elementary School 607-547-9976 or High School 607-547-8181
If you wish to apply to receive items and services from this program at any point during the year you can come back to our website and complete the "Request form".  Thank you and welcome to the Angel Network Family!

Sign in to Google to save your progress. Learn more
Email *
Angel Network Family Intake Form 2021-2022 School Year
Mission and Values:
The Angel Network of Cooperstown, Inc., a community- based 501c.3 organization, shall support families with demonstrated need in the Cooperstown Central School District.

‚ÄčAngel network will provide assistance and create opportunities enabling children to thrive.
     * Values of the Angel network are to provide:
     * Access to opportunities
     * Empowerment and stability for families
     * Commitment to equality
     * Community Support

If you are in need of support please complete the intake form. Thank you!
Name *
Names, age and grades of all children in your family: *
How many people live in your household? *
What is the best way to contact you? *
Address: *
Cell Phone: *
Home or Other Phone:
Please check the following that apply to your household: *
Required
Do you have reliable internet access at home? *
Household monthly income (net) *
Please share briefly what drew your family to apply to be an Angel Network Family. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy