Registration for 2019 Tuxedo Giveaway

Student Registration-Tuxedo Giveaway

Since 2003, the Enchanted Closet has outfitted over 7000 metropolitan girls for the most enchanting times in their lives and we are super excited about partnering with the Admiration Lodge #25 again this year as they provide young men with tuxedos for prom.

Please complete the questions below and submit a brief essay stating why you should receive a tuxedo for prom. Include an introduction of who you are and 3 supporting reasons as to why you should be selected to receive a tuxedo for prom.

This is a wonderful opportunity. We hope you are excited. Good luck!

Outreach Committee
outreach@enchantedcloset.org
404-221-3498

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* 1. Please complete the following survey as honestly as you possibly can. Your name and other identifying information will not be provided to anyone who is not affiliated with the Enchanted Closet, Inc. and the Admiration Lodge.

Name

Email address

Telephone number

Grade

Age

Race

School

County you live in

Parent or guardian's name

Parent or guardian's email address

Parent or guardian's phone number

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* 2. What is the date of your prom?

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* 3. Does your family get any of the following assistance?

Free breakfast and lunch

Medicaid

Reduced breakfast and lunch

Section 8 low-income housing assistance

Supplemental Security Income(SSI)

Supplemental Nutrition Assistance Program (SNAP)(formerly Food Stamp Program)

Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

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* 4. What is your family's annual income?

0-$10,000

$10,001-$15,000

$15,001-$20,000

$20,001-$25,000

$25,001-$30,000

$30,001-$35,000

$35,001-$40,000

$40,001-$45,000

$45,001-$50,000

$50,001-$60,000

$60,001-$70,000

$70,001 +

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* 5. How many people live in your home?

more than 10

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* 6. Are you in any of the following?

Foster Care

Group Home

Single Parent Family

A home with a grandparent only

A home with a father only

A two parent family

Other (please specify)

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* 7. Please write an essay expressing why you feel you should receive a tuxedo for prom?

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* 8. If selected, can you be available to attend an event during the afternoon of March 16 at the Salvation Army Ray & Joan Kroc Corps Community Center, 967 Dewey St SW, Atlanta, GA 30310.

A $10 processing fee may be collected from the young men selected to receive a free tuxedo for prom.