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Family Assistance Request

Please share a few details so our team can review your request. We treat all submissions with dignity and confidentiality.

For your safety, do not share Social Security numbers, banking passwords, or other sensitive account credentials in this form. Submitting a request does not guarantee assistance.

Full name *Phone *Email *ZIP code *Number of adults in household *Number of children in household *

Ages of children (e.g. 4, 7, 12)

Type of assistance requested

Food assistanceClothing / shoesScholarship informationAfter-school assistanceTransportation / gasFinancial counselingFinancial-literacy workshop interestYouth STEM program interest

Brief description of need

Preferred contact method

Phone Email Text

I consent to be contacted by She By Design Inc. regarding this request.I understand that submitting this request does not guarantee assistance, and that all support depends on eligibility, documented need, and available resources.

She By Design Inc.

Supporting Families. Strengthening Futures.

A community nonprofit connecting families with financial assistance, scholarships, essential needs, financial education, and youth development opportunities.

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She By Design Inc. is a separate organization from Daisy's Academy and other childcare or after-school providers with which it may collaborate.

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