(1a) Youth/Adult Eligibility
One of the following is required: Public Assistance (cash) income support-payments-based on income (e.g. -TANF/KTAP; SSI), Food Stamps (SNAP), Homeless/Runaway, Foster Child, Verification from school, Receives or is eligible to receive free or reduced price lunch (in-school youth only), Youth lives in a high poverty area documentation.
Name
*
First Name
Last Name
Upload a picture of your Documentation.
*
Browse Files
Drag and drop files here
Choose a file
Please make sure your picture is clear.
Cancel
of
Submit
Should be Empty: