Back to School 2024 List – I am Hopeful

7th Annual - Back to School 2024

Up to 2 per family. While supplies last.

Name

Last Name

How Many Kids

Address

City

State

Zipcode

Own House or Rent

Own Rent

Cell Phone Number

E-mail

Do You Have Health Insurance?

Yes No

Do you or any member in your family are in need of health insurane?

Yes No

Are you interestedin receiving information about down payment assistance to purchase a home?

Yes No

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