Please complete the application below if your household includes a school-aged child, Transitional Kindergarten through 12th grade, who receives housing assistance from the Housing Authority and may be eligible for a free backpack with school supplies.

Head of Household Name(Requerido)
Dirección(Requerido)
Student Info(Requerido)
To add another child, select the plus button (+).
Student Name
Date of Birth
School
School District
Grade
Gender