Backpack Application 2022 - Deadline August 12, 2022 ELIGIBILITY Must live in Halton Hills - max after-tax household income $28,000 (1-2 people in home); $39,000 (2-4 people in home); $48,000 (5-6 people in home); $52,000 (7+ people in home) CONTACT Name(Required) First Last ADDRESS (must live in Halton Hills)(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code PhoneEmail CHILDREN'S INFORMATION(Required)First NameLast NameGenderGradeDate of Birth (dd/mm/yyyy) Add RemoveHOUSEHOLD INCOME (monthly, after-tax $ amounts)(Required)ODSPE.I.O.W.CPP DisabilitySupport PaymentsEmploymentOther (amount)Other (details)Total Add RemoveCONSENT TO DISCLOSE INFORMATION(Required)Personal information is collected solely for determining program eligibility to ensure support for those most in need. Information is kept strictly confidential. Contact Links2Care's Privacy Officer at 905-873-6502 or [email protected] for more details. I authorize Links2Care to release/request information and advocate on my behalf and release Links2Care from all claims and liabilities arising out of the release/request of this information. Date(Required) Month Day Year UPLOAD MOST RECENT NOTICE OF ASSESSMENT Drop files here or Select files Max. file size: 20 MB, Max. files: 10. SUBMISSION DEADLINE: AUGUST 12, 2022. We will contact you in late Aug/early Sept with pick-up details.Maximum file size - 20 mega bytes. EmailThis field is for validation purposes and should be left unchanged.