Sign up for back to school assistance for your child.

This form will be open for requests on July 15th, July 29th, and August 12th.

Back to School Request

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don’t have a usable backpack, please indicate that in the form below.

Proof of child's birthdate is required to pick up your order.

Shelter/Safe House

If you currently live in a shelter or safe house, please list the name and contact info for the shelter/safe house.

Additional Information

Child #1

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Child #2

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Child #3

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Child #4

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Child #5

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Child #6

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Child #7

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Child #8

Please reuse backpack from previous year if possible so we have enough to accommodate everyone. If you don't have a usable backpack and need us to provide one, please select "yes" below.

Demographic Information (optional)

This information is used for funding purposes only! Your answers will not impact the fulling of your order in any way (even if you choose not to complete it). The information gathered may help Project Just Because to receive grants to further benefit those in need. Thank you!
(Please select all that apply)
If you selected "other", please describe how you identify your ethnicity.

PARENT/GUARDIAN ONLY!

The Back to School Program is for parents/guardians ONLY to complete. This does not include extended family, friends, or neighbors. If you know of someone in need, please have the parent/guardian fill out their own application.

Please add request@projectjustbecause.org to your safe senders list in your email account to ensure delivery of your request receipt. If you do not receive your email confirmation, please check your SPAM folder. Please bring proof of child's birthdate with you to pick up your order.
For security verification, please enter any random two digit number. For example: 87