Notes for Completing Application (Individual/Family)
- If you are requesting funds to buy a specific item, please include a
cost estimate in addition to a detailed description of the item and
prioritize in order of importance
- Funds will not be granted for general operating expenses or utilities
- Submit W-2s for the last two years
- Fax It: 620-356-4306
- Or if you are mailing your application, include them.
- To complete your application:
- Submit online and fax us all relevant additional documents: 620-356-4306 -or-
- Mail your completed application with additional documents to
Judy Parsons, PEAR Coordinator
P.O. Box 368, Ulysses, Kansas 67880
- You do not need to sum the columns yourself. When all
value are filled in, press the button calculate the amount columns and
generate a summary.
- This form has been verified to render properly in IE7, FF2, FF3, and Chrome.