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Backpack & School Supplies Application

ELIGIBILITY__________Must live in Halton Hills (Acton, Georgetown and outskirts)__________Maximum after tax income of total number of people living in the home: 1 person – $35,000; 2 people – $45,000; 3 people – $47,500; 4 people – $50,000; 5 people – $52,500; over 5 people – $52,500 + $2,500 for each additional person

CONTACT Name(Required)
ADDRESS (must live in the Town of Halton Hills: Acton, Georgetown and outskirts)(Required)
CHILDREN'S INFORMATION(Required)
First Name
Last Name
Gender
Grade
Date of Birth (dd/mm/yyyy)
 
HOUSEHOLD INCOME (monthly, after-tax $ amounts)(Required)
ODSP
E.I.
O.W.
CPP Disability
Support Payments
Employment
Other (amount)
Other (details)
Total
 
CONSENT TO DISCLOSE INFORMATION(Required)
Personal information is collected solely for determining program eligibility to ensure support for those most in need. Information is kept strictly confidential. Contact Links2Care’s Privacy Officer at 905-873-6502 or [email protected] for more details.
Date(Required)
Drop files here or
Max. file size: 20 MB, Max. files: 10.
    We will contact you in late August or early September with pick-up details.
    This field is for validation purposes and should be left unchanged.

    Contact us to learn more

    905-844-0252 or 1-800-844-0252 or [email protected]

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