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Youth Forms

DACA Higher Education

DACA Higher Education

Address(Required)

List amount requested next to appropriate need:

Max. file size: 256 MB.
Applicants must meet criteria guidelines as noted on LUCY Outreach website to be considered and applications must be submitted according to timelines. Include with this application any invoices or receipts to support your request. Latest transcript is required. An updated resume would be preferred.
Max. file size: 256 MB.
Max. file size: 256 MB.
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Leadership Application

Leadership Application

MM slash DD slash YYYY
Address(Required)

Which sub-committee are you most interested in?(Required)
**The LUCY Youth Advisory Board will meet weekly beginning in June through September at the LUCY Center. Expectations are that you will attend all meetings, unless sick, away or working. Additionally, members are asked to participate in all planned programs, trips and service projects throughout the summer. Board members will also assist Youth Program Coordinator in tasks within the center, as well as recruiting new youth and reminding current youth of upcoming events.**
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Academic Release Form

Academic Release Form

Address(Required)

List amount requested next to appropriate need:

Max. file size: 256 MB.
Applicants must meet criteria guidelines as noted on LUCY Outreach website to be considered and applications must be submitted according to timelines. Include with this application any invoices or receipts to support your request. Latest transcript is required. An updated resume would be preferred.
Max. file size: 256 MB.
Max. file size: 256 MB.
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High School Senior Application

High School Senior Application

Address(Required)
MM slash DD slash YYYY
Applications must be submitted by March 1st of graduating year. Applicants must meet criteria guidelines as noted below: Active LUCY participant in good standing, 2.0 GPA (Transcripts REQUIRED), List of colleges applied to and status, Timely submission of application, Updated resume (preferred), Camden County resident along with financial need
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.
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Emergency Assistance Application

Emergency Assistance Application

Contact Information

MM slash DD slash YYYY
Language spoken at home(Required)
Language you prefer(Required)
Address(Required)
How do you prefer to be contacted?(Required)
Social service involvement & needs (check all that apply):(Required)

Request

What support is most needed at this time? Please check all that apply:(Required)

Employment / Household Income

Is Parent/guardian currently working?(Required)

Benefits

Is parent/guardian receiving SSI?(Required)
Is parent/guardian receiving support from other organizations?(Required)

Current Household Expenses

Rent/Mortgage(Required)
School tuition(Required)
Utilities currently being paid
Medical bills?(Required)
Medications?(Required)
Transportation(Required)
Are you purchasing groceries or utilizing food banks and donations?(Required)
Are you needing childcare right now?(Required)
Are you paying for childcare right now?(Required)
Max. file size: 256 MB.
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