Tell us about your household.

Start with the parent, guardian, or caregiver responsible for this application.

First Name *Last Name *Phone Number *Email AddressPreferred Contact Method *Best Time to ContactRelationship to Children *Street Address *City *County (verified from address) *ZIP Code *

Total number of people in household *Number of adults in household *Number of children / dependents in household *How many adults are currently working? *

My mailing address is different from my physical address.I understand that Angels Among Us must be able to reach me during the application review and distribution period, and I will notify the program if my contact information changes.

Why do we ask for this?

Household information helps us verify residency, identify duplicate applications, and contact you regarding your application.