Horizons for Youth Interested Families Waitlist
If you meet the below criteria, please fill out all sections; if you have questions, please reach out to Meghan Colgan at meghan@horizons-for-youth.org. 

Applicants must have a permanent address within the City of Chicago limits
Applicant child must be entering kindergarten, first, second, third or fourth grade for the following school year.
•      If applying on behalf of multiple children, one must meet the above age requirements and siblings entering up to 8th grade are also accepted.
Applicants must show proof of financial need with income no greater than 80% Chicago Area Median Income  (First two pages of 1040 tax return preferred, or signed letter from employer stating salary. If not currently working include a copy of Medicaid I.D. card, current food stamp voucher, proof of SSI (Supplement Security Income) or proof of Special Population Group (i.e. Social Security).
The parent/guardian applying for the program must be the legal guardian and have legal custody of the child(ren) for which whom you are applying.

Sign in to Google to save your progress. Learn more
Parent Name *
Parent Phone Number *
Parent Email Address *
Parent Home Address *
Child 1 Grade for next school year *
Child 1 School Currently Attending *
Please list other children (entering K-8th grade) with their grade(s) for next school year and school(s)currently attending
How did you find out about us? *
Any other comments or questions
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy