Please complete the following enrollment application, attach proof of income, and "Submit" the form. Someone from our program will contact you with more information. Thank you
Please list all children in your family ages birth to 5.
Attach copies of proof of income such as Form 1040 from previous tax year, W-2 forms from previous tax year, or copy of most recent pay stub.
(allowed file extensions: .jpg, .jpeg, .png, .pdf, .doc, .docx, .csv, .xlsx, .xls)
1006 NE 3rd Street, Suite A
P.O. Box 1311
MCMINNVILLE, OREGON 97128
Information and referral