DAHC Adopt a Student Form
DAHC has 44 students in our affordable housing system. Included in our wraparound services, we strive to provide single parents, low-income families, and survivors of domestic violence with assistance to get their children ready for the new school year. Choose the type of support you'd like to provide for a student, and we will email you a shopping list with sizes needed, etc. Donations are needed by July 15 for distribution. Donations are to be dropped off at 211 Second Street or reach out, and we can arrange pick up. If you would like to make a general donation to this Back-to-School program, please donate here - https://www.paypal.com/donate/?hosted_button_id=YQAGXWJ756MHY
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
What would you like to provide for a student?
*
Clothes (size and gender will be described)
Shoes (size and gender will be described)
Bike (can be gently used!)
School Supplies (on average $100)
Monthly GoZone Pass for Student ($24)
Additional Comments (optional)
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: