Pre-Screening Questionnaire

1 Financial hardships associated with the COVID-19 pandemic, which may look like:
  • Having qualified for unemployment benefits
  • Having experienced a reduction in household income
  • Having experienced an increase in living expenses, including medical expenses, household size, or increase in childcare costs
  • Having experienced other financial hardships, which may look like:
  • Losing a job or having hours reduced
  • Losing access to childcare or dependent care

Verify that you are under the income limits of the program:

3 The total gross income for all household members aged 18 and over. Total gross income does not include public benefits such as Supplemental Nutrition Assistance Program benefits.