Please read the following when completing a Request Form for assistance.

Understanding and following these instructions, helps to assist you better.

All children must reside in the home. Please be aware that at any time, we may ask for proof of the child's residency with you.

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It is your responsibility to complete the form accurately. Please make sure each need is described for each of your children. Please give specific details of sex , age , sizes along with their needs. Please fill out each box, if it does not apply to your situation please mark the box N/A. If you do not fill the form out completely and accurately, we will not be able to assist your family with the needs you are requesting. 

After completing the Request Form, please be available for contact. A member of PURE will reach out by one or all of the ways you have given as your contact information, within 10 business days of application submittal. It is your responsibility to check text messages, voicemails, email, etc. If your contact information changes, it is your responsibility to notify PURE with a cause ASAP. 

You must respond within (2) days after contact from PURE to continue your application process. If you fail to do so, PURE will no longer be able to move forward with your application and you will need to reapply