INFORM US | KINnections Navigator Hub

Inform Us

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Which of the following best describes your role?

Select One

How many children are you caring for? *

Please specify gender and age of children:

Do you receive Supplemental Nutrition Assistance Program (SNAP) benefits?

Yes

No

Please explain your circumstance and need:

Please be specific...

Please state your top two essential needs (not covered by state or federal assistance):

Please explain your circumstance and need:

Please provide supporting documents to show your need. Please provide proof you are a grandparent raising a grandchild such as a lease or school record. Please upload a copy of your ID or DL. Thank you

examples: Lease Agreement/ Address Proof, Utility Bill, "Shut off notice" etc.

The Grandparent's Community Network