Adopt-A-Backpack Application

APPLICATIONS ARE CLOSED

adopt-a-backpack

Students attending school in Geary County, Chapman, and Enterprise, kindergarten through 12th grade, may apply for the Adopt-A-Backpack program.  An application does not guarantee approval.  Approval depends on funding.  Please specify which school your child/ren will be attending.

Proof of household income MUST be provided.  If you receive assistance in the form of unemployment, child support, disability, food stamps, etc, please provide proof.  If proper documentation is not provided, applications will be denied.  

application deadline is 3:00 PM on JULY 19TH, 2024.

 

Adopt-a-Backpack Application

Information message

This program is open to children in USD 475, USD 473, and St. Xavier schools.  Students must be K-12 only.  This application must be received in our office by July 19th, 2024 . Assistance will be determined based upon financial need, and first come first served.

PARENT/ GUARDIAN INFORMATION
Household Information

Monthly Gross Household Income: (enter numbers)

$
$
$
$
Student #1
Student #2
Student #3
Student #4
Student #5
Student #6
Terms of Service

Information message

I CERTIFY THAT MY ANSWERS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION IN MY APPLICATION MAY RESULT IN A DENIAL FOR THE ADOPT-A-BACKPACK PROGRAM.