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WAITING LIST: Kankakee/Iroquois County Back to School Fair 2024
Monday, July 29, 2024 (11:00am - 1:00pm) Kankakee Community College, 100 College Drive, Kankakee
Please complete and submit the following information to be added to the waiting list for the Kankakee/Iroquois County Back to School Fair.
Why do we ask these questions? Collecting specific information about participants helps us understand who we serve and plan for the future. Catholic Charities must provide this data to our funders in order to continue providing this event. Thank you for taking the time to provide this information!
You MUST reside in Kankakee County or Iroquois County to participate in the Kankakee/Iroquois County Back to School Fair. Do you live in either Kankakee County or Iroquois County in Illinois?
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Yes.
No.
Your Name (parent/guardian)
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
IL
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
Illinois
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Maine
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number (cell phone preferred)
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Email
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What is your gender?
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Please Select
Female
Male
Other
Prefer not to say
What is your race? (Choose only one.)
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White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
What is your yearly household income?
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Please Select
$0-$9,999
$10,000-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
(How much money does your household earn in a year?)
Please sign below to certify that this is your true household income.
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What school district do your children attend?
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Please Select
Bourbonnais Elementary School District 53
Bradley-Bourbonnais CHSD 307
Bradley School District 61
Central CUSD 4
Cissna Park CUSD 6
Crescent Iroquois CUSD 249
Donovan CUSD 3
Grant Park CUSD 6
Herscher CUSD 2
Iroquois County CUSD 9
Iroquois West CUSD 10
Kankakee SD 111
Manteno CUSD 5
Milford Area Public Schools 124
Momence CUSD 1
Pembroke CCSD 259
St. Anne CCSD 256
St. Anne CHSD 302
St. George CCSD 258
Private School
I don't know
Other
What is your primary language?
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I understand that in order to serve as many families as possible, and to avoid duplication, the information on the application may be shared with other agencies or institutions. I give my permission to release the information contained in this application to participating churches and to other agencies offering similar Back to School Fairs. Clicking "Yes" below confirms your understanding of the above statement.
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Yes
How many people live in your household? (Please include yourself in this number.)
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How many students need school supplies in your household? (Must be entering pre-k - 12th grade for the 2024-2025 school year.)
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Note: If you are registering more than nine children, please fill out a second form with the additional information.
Back
Next
Student Information
Please complete the next section for each student (grades pre-k - 12th) who needs school supplies.
Student #1
Name
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First Name
Last Name
How old is this individual?
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Which grade is this student entering for the 2024-2025 school year?
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Pre-K
Kindergarten - 5th grade
6th grade - 12th grade
Gender
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Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
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White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #2
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #3
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #4
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #5
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #6
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #7
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #8
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Student #9
Name
*
First Name
Last Name
How old is this individual?
*
Which grade is this student entering for the 2024-2025 school year?
*
Pre-K
Kindergarten - 5th Grade
6th - 12th Grade
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Race (Choose only one.)
*
White
Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial/two or more races
Submit
Should be Empty: