Please Complete All of the fields of the applications and mark if the information is Not Applicable (N/A). Failure to provide information could cause delay in enrollment.
By initializing the box(es), I the undersigned acknowledge that I am a member of Project Discovery and that I nor any representative of Project Discovery, will receive compensation for this media contact. I consent and agree to the following media release, for the purpose of, advertising and marketing.
I certify that the above information is correct and may be used for statistical and eligibility purposes only. In addition, by signing this I give permission for my child to (1) participate in the Project Discovery program and (2) media release information above.
Proof of income for household for 30 days is required to be attached to the application. A png, jpeg or tiff can be uploaded as well. Thank you.