Special Projects Registration Sign-Ups 2020
THIS FORM IS ONLY TO BE FILLED OUT IF YOU PARTICIPATED IN BTS 2018 OR 2019 OR BOTH. Please read completely.
Please fill out all required information below or you WILL NOT be able to move to the next question. Please skip any non required questions that do not pertain to you. Make sure to sign and submit when you are finished or you will not be registered and will not be called with an appointment date and time.
Email address *
PRIVACY RELEASE FORM for People to People Ministries
This form will act as your Privacy Release Form which is authorization to obtain and release of information. At the bottom of this form you will sign and submit this form and give us permission to release or exchange information with government/social agencies. This information collected will only be used to approve or deny for our Back to School Project 2020.
What are you here for today? Please select all if your wanting to preregister for for Thanksgiving and Christmas. You will still need to register and schedule an appointment for those when the time comes. *
Required
Did you participate in the BTS project in 2018 or 2019? *
Please select all boxes below if they are current and valid. Or if you have changes in more than one area please select all documents have changed. If only one select other. *
Required
Do you have any changes in your documentation that you need to tell us about? *
Please list any changes you have. (Address, Custody, Etc.)
Are you a client of Ohio Department ofJobs and Family Services (ODJFS)? (This means you receive food stamps, medicaid, or income from ODJFS) If you are not sure and feel you are below the 200% poverty level and want to see if you qualify please contact ODJFS, Jennifer Kearns (330)-287-5846. *
Poverty Guidelines Under 200 % Call Jennifer at JFS 330-287-5846
Total People living in your household *
How many adults (ages 19 to 59) live in your household ? *
How many Seniors (ages 60+) live in your household ? *
How many children in your custody (ages 0 - 18) live in your household? *
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