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Family Application
FAQs
Please apply here!
Families In Need
*This application only applies to K-12. This application can only be filled out if you are 18 or older.
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Indicates required field
How did you hear about Elevate Our Kids?
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Internet Search
Advertisement
Friend
A Board Member
Social Media
Other
If Other please specify:
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Your Name
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First
Last
Child's Name (For family applications only)
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First
Last
Family or School Address
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Line 1
Line 2
City
State
Zip Code
Country
Email Where you can be reached
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Your Phone Number
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Name of School or District
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What is your age?
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Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
What is your household income? (only applies to families)
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Less than $10,000
$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
Greater than $100,000
Prefer not to say
Please only fill out if you are applying on behalf of a family, your child, or relative member.
Do any of the following apply to you or your child, your school, or your school district?
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My school is located in a primarily under-resourced or under-served community.
My school does not distribute laptops or devices to kids.
My family or school does not have the budget to afford laptops and devices for students or kids.
My child is learning from home on a smartphone.
My family does not have broadband Internet or cellular service for home school, remote learning, accessing school learning from home.
My school district is located in a primarily ethnic neighborhood or community.
My school has more than 50% of the children or students on a free lunch program.
My school, school district, or my child(children) are in desperate need of devices for student learning.
My school is located in a primarily low income community or neighborhood.
My son or daughter has only one parent or legal guardian.
What is the primary ethnicity or race of the students at your school or school district?
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Black or African American
Hispanic or Latin American
Asian
White
Other
Please provide 2 references that will help us validate your application.
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Please provide up to 2 resources or references, and a teacher, counselor, or principal is preferred. Please include first name, last name, title, phone number.
I agree to receiving marketing and promotional materials
*
Submit
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