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Adopt A Family

Thank you for taking the time to nominate a family or your family for our Adopt A Family Program.  Here is some information and requirements.  Please read fully and carefully.

Deadline:

* All Online nominations will be closed at midnight on November 30th, 2018

* We are unable to extend the deadlines in order to ensure fair consideration for all applicants.

Requirements:

Income
Maximum household gross income for two person households is $24,000 per year, for three members it is $28,200 and for four person households it is $34,000.  For every person above four in the household, the maximum rises by $5,800.  Applicants for the program will need to present proof of income in the form of tax returns, pay stubs or government benefits statements for all adults living in the household.

Program
Anyone who qualifies for Medicaid, or Medi-Cal, Temporary Assistance for Needy Families, Food Stamps, Supplemental Security Income, Low Income Home Energy Assistance Program, The Women, Infants and Children program, the National School Lunch's free program or California Lifeline may apply.  Proof of involvement in qualifying program may be requested.


Applicants must:

* Complete the entire application

* Be willing to participate in the pre-event screening

* Not be participating in any additional programs that provides similar support

* Be willing to be photographed or have video taken of all parties for use in future marketing

* Provide proof of residency (Identification Card, Driver's License or Utility Bill)

* Provide Proof of income if requested (Payroll Stubs, Previous year W-2)

Where to mail your application / nomination: (If Mailing application)

22qties Unite
P.O Box 2254
Fontana, CA 92334



22qties Unite does not discriminate against any person on the basis of race, color, national origin, disablitity, sex or age in admission, treatment, or participation in its programs, services and activities.  No person shall be excluded from participation in, or be denied the benefits of any service, or be subjected to discrimination because of race, color, nationality, religion, sex, age, disability.

22qties Unite is a 501(c)(3) non-profit organization and not part of any government entity.