Extra Pandemic Relief is coming! If you are a current or former foster youth, you may be eligible for a special, one-time stimulus check and assistance with things like purchasing a car, securing housing, etc.   Please answer the questions below and we will contact you as soon as possible. 

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* 1. First Name

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* 2. Last Name

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* 3. Date of Birth

Date

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* 4. Age

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* 5. Phone Number 

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* 6. Email address

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* 7. What is the best way to contact you?

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* 8. What county do you live in?

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* 9. Current City and State

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* 10. Experience with state's care:

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* 11. Are you currently employed?

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* 12. Do you have your high school diploma or GED?

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* 13. Do you have a Driver's License? 

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* 14. Are you currently using a FUP/FYI housing voucher?

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* 15. Are you currently receiving an Education Training Voucher? 

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* 16. Please check all areas where you need assistance:

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