Starting Out Right - Piatt County IL
2018-19 Application Form
this is a backpack and school supply assistance program for low-income and hardship families with children enrolled in Piatt County schools; this program is able to offer this service because of the generosity of our community's residents and businesses that have collaborated to provide and distribute these supplies for your child(ren)
Starting Out Right, a division of A Small Hand, is distributing school supplies to your school-aged child(ren), kindergarten through 12th grade, in good faith. This is a service offered to those students enrolled in a Piatt County IL school for 2018-19. Though we will do our best to fulfill each child's needs based on the provided school list, it is possible some materials may need to be purchased on your own. Do you understand this statement? *
If you did not agree with the above statement, please explain, with details. All reasons will be considered for qualification
Your answer
enter name of parent or guardian (first/last name) *
Your answer
enter street address of household applying for assistance *
Your answer
enter city and zip code *
Your answer
enter best phone number we may use to contact you (including area code) *
Your answer
please add an alternate phone number that we may use to contact you if your primary number is not available?
Your answer
are you able to accept text messages? *
enter full email address(es) we may use to contact you, separate each address with a coma; if you have no email, please enter NONE; note, emails will come from asmallhandpiatt@gmail.com *
Your answer
Select the name of the Piatt County school system your child(ren) will be enrolled for 2018-19 school year *
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