Benton, Carroll, Madison, and Washington County in Arkansas
APPLICATIONS CLOSED FOR 2023
Please Choose From the Following Or Continue for More Information
Requirements
Rules:
● ALL APPLICANTS ARE REQUIRED TO ATTEND AN INTERVIEW IN PERSON, BY PHONE, OR BY VIDEO CALL.
● Due to limited space, we do not allow children to accompany you during the in-person interview.
● Only parents or legal guardians may apply (must have proof of legal guardianship).
● The applicant must bring COPIES of all necessary documents (WE DO NOT MAKE COPIES).
Applications Accepted: November 1 - 30, 2023 by 5:00pm
Submission Options: Online or In Person by Appointment
THIS IS AN INCOME BASED PROGRAM. IF YOU RECEIVE FREE/REDUCED LUNCH OR SNAP YOUR FAMILY MAY QUALIFY.
You will be required to provide documentation. Partial applications will not be processed.
Service Area:
● Benton County Arkansas
● Washington County Arkansas
● Carroll County Arkansas
● Madison County Arkansas
● Limited Locations outside these communities (email for more information c4h@carecc.org)
Documents Needed to Apply for Assistance: Legal Guardian Documents
● Photo identification for all guardians listed on application - State, Federal, or Foreign ID
● Social Security Card or ITIN Letter for all guardians listed on application. If you are from another country, bring your Foreign ID.
● Proof of residency: A utility bill (water, gas, electric), a mortgage statement or lease agreement in the applicant’s name and physical address (non-P.O. Box).
● PROOF OF RESIDENCY FORM can be completed by a NON-RELATIVE or property owner if applicants name is not listed on the above documents.
● Contact Information: Applicant must provide two (2) working phone numbers and an email address.
● Proof of family income: applicants must show proof of all earned and unearned income received by the household (this means everyone that lives in the home).
See examples of proof of income below:
● Prior month’s bank statement (traditional, online banks and payment cards)
● Pay stubs for the last 90 days: August - October 2023
● If there is more than one employer during the year, bring your last pay stub from each employer from August – October 2023
● 2022 Income Tax return and Self Employment income records for August – October 2023
● SSI/SSD/SSA Award Letter
● Child Support/TANF
● Military Income
● Handwritten notes will not be accepted you must use the Earnings Verification Form
Required Child Documents
● Official birth certificate OR proof of legal guardianship for each child (Court Order). The applicant’s name must be listed as the parent or guardian.
● Proof of Social Security Number (copy of card) for each child OR obtain a printed student summary from the school the child attends.
● For homeschooled children, please bring verification of student status