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Return application to:
United Way of Lee County
PO Box 3075
Auburn, AL 36831
2018 SCHOOL SUPPLY APPLICATION
United Way desires for all children in Lee County to begin school with the tools to succeed. Our goal is for this program to assist families struggling to provide necessary school supplies. Applications are open to children attending school in Lee County. Applications must be received in the United Way office by July 6, 2018. Supplies will be distributed based on need and the order in which applications are received.
If your application is accepted, you will be notified by phone call by July 25th. Phone calls will be followed by a post card. The post card must be presented at the time of distribution. The distribution date and time will be listed on the postcard. United Way hopes to serve as many families with a demonstrated need for school supplies as possible.
Please complete both sides of application. Thank you!
PARENT/ GUARDIAN INFORMATION (Required)
Name: ________________________________Spouse/Significant Other_________________________
Mailing Address: ____________________________________________________________
City ___________________State________Zip Code___________ Phone: ______________________
Place of Employment __________________________Spouse Place of Employment _______________
FAMILY INFORMATION
Number of family members in household: __________________________________
Do you receive free or reduced school lunches? (Please Circle) YES NO
Yearly Family Income Level:
___ Up to $5,000 ___ $5,000-$15,000 ___$15,000-$25,000 ___$25,000-$35,000 ___Above $35,000
YOUR COMMENTS WILL HELP US PLAN FOR FUTURE SCHOOL SUPPLY DRIVES
Why is the School Supply Drive important to you and your family? How does it impact you and your child (ren)?
Supplies available for K-12th grade. Not available for Head Start, Preschool or College students.
If you do not need a backpack you may still receive the supplies just indicate so on the application.
Parent Signature __________________________ Date ________________________
STUDENT NAME & INFORMATION
Child Name: _________________________________ Entering Grade: ______________________
Age: ________________________________________ Gender: _____________________________
School Name: _____________________________
My child needs (check one): □ Backpack and supplies □ Supplies only
Child Name: _________________________________ Entering Grade: ______________________
Age: ________________________________________ Gender: _____________________________
School Name: _____________________________
My child needs (check one): □ Backpack and supplies □ Supplies only
Child Name: _________________________________ Entering Grade: ______________________
Age: ________________________________________ Gender: _____________________________
School Name: _____________________________
My child needs (check one): □ Backpack and supplies □ Supplies only
Child Name: _________________________________ Entering Grade: ______________________
Age: ________________________________________ Gender: _____________________________
School Name: _____________________________
My child needs (check one): □ Backpack and supplies □ Supplies only
Use additional sheet if necessary to list above information.
If you have questions please contact
United Way of Lee County
334-745-5540
chandler@unitedwayofleecounty.com