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Home
About Us
Join Us!
(FAQ) Frequently Asked Questions
Contact Us
Community News
Our Programs & Services
Project Connect
Enroll Your Student!
K-12 After-School Program
CHILL Ambassador Program
First Tee Program
TRR Youth Council
Our Calendar
Project Connect
Reconnecting Families to Educational Success
Return to Project Connect
Project Connect Intake Form
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Please enable JavaScript in your browser to complete this form.
Name of the Head of Household
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First
Last
Address
*optional
Number bill? the
Phone Number
*
Email Address
*
Do you live in Miami Dade County?
Yes, I DO live in Miami Dade County.
No, I do NOT live in Miami Dade County.
Do you have a child enrolled in a Miami Dade County School?
Yes, I have a child enrolled in MDPS
No, I do NOT have a child enrolled in MDPS
Are you currently homeless or at-risk of becoming homeless?
Yes, I am or at risk of being homeless!
No, I am NOT at risk of becoming homeless.
Do you currently have a disconnection notice from your utility bill?
Yes, I have a disconnection notice.
No, I do not have a disconnection notice.
Additional Information?
Please include details about your family's needs that you would like our case managers to know about.
Submit
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