Complete this pre-qualification survey. A staff or committee member will review it and determine if you should complete a full application.  (Prefer a print version? Here you go.)


If, from your survey results, we think you may qualify, we will invite you to fill out and return a full application.


Once a full application is returned to our office, a committee reviews the info and determines eligibility.

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PO Box 2655 - Alliance, OH 44601 (330) 823-2448