The City of Carroll applied for and was awarded a small grant, to give income-eligible households in Carroll County one $25 restaurant gift card.  

By completing this application, you give permission to share your information with staff, volunteers, City of Carroll affiliates and partner organizations in an attempt to provide your household with a gift card.  Gift cards are limited and will be provided according to income-level.  Sign up now through December 31, 2020.

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* 1. What county do you live in?

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* 2. How many individuals are in your household?

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* 3. Please reference the income limit in the question above for your household size.  Is your income below the amount listed in your answer above?

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* 4. Head of household information (your gift card will be mailed to this address):

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* 8. I hereby certify that the above information is accurate and true. 

Please type full name for electronic signature.

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* 9. I would like to be contacted about further New Opportunities services potentially available to my household.

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