|
|
Are you Eligible?
|
1.
|
Do you live in Hardin, Jefferson or Orange, County, TX?
|
|
|
|
|
|
|
2.
|
Are you a single parent who is searching for employment, employed, in a job training or education program (if employed or in a job training/educational program are you in the activity 25 hours or more a week)?
|
|
|
|
|
|
|
|
OR
|
|
|
|
|
|
|
|
Are you a two- parent household where one of you are searching for employment, employed, in a job training or education program (if employed or in a job training/educational program are you in the activity a combined 50 hours or more a week)?
|
|
|
|
|
|
|
3.
|
Do you meet the monthly income guidelines as outlined below (include ALL income
received on a monthly basis, before taxes have been taken out)?
|
|
|
|
|
|
|
|
|
# of Persons in Family
|
Total gross monthly income
before taxes cannot be over ...
|
|
2
|
$4,971
|
|
3
|
$6,141
|
|
4
|
$7,311
|
|
5
|
$8,481
|
|
6
|
$9,650
|
|
7
|
$9,870
|
|
8
|
$10,089
|
|
9
|
$10,308
|
|
10
|
$10,528
|
|
|
|
|
|
|
|
Please answer all questions and then submit.
|
|
| |
|
|
|