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Adult who lives in the home and is related to the applicant (child or pregnant mom) by blood, marriage or adoption. Any other adults in the household can be added later.
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Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling
After submission of the application please contact us to finish the application, sign, and provide copies of proof of your child's age, and 12 months of income. Contact us at jmaybee@communityactionatwork.org or #402-875-9328
Required information is missing, see above.