Opportunity Screening Application
PLEASE READ: This screening will help Step Up Savannah determine which benefits and resources you are eligible for. Please fill out the form and someone will be in contact with you soon!

Please note that the required questions are those with an * beside them. Some questions only apply to some households. Please read carefully and answer all questions completely.

DISCLAIMER: The security of your information is important to us. The information provided on this form will be shared with the Step Up Savannah Team. It is stored on our Google Drive. The document is transported securely, but could be accessed in the event our Google Drive is hacked. To help with the security of this form, we are ONLY asking for minimal information that we need to best serve you.

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