18 years of age or older?

Authorized to work in the US?

Registered for selective service (males only, if born after 1959; check registration at http://www.sss.gov)?

Do you meet any one of the following:

• Receive cash (TANF) or food assistance (SNAP)
• Receive Social Security or Veterans’ Administration disability rated benefits
• In a household that meets low income criteria based on Poverty Guidelines

  Family Household Size	Maximum Income
  1	$26,884
  2	$44,052
  3	$45,347
  4	$55,985
  5	$66,075
  6	$77,277
  7	$88,479
  8	$99,681

  Family size includes those individuals that are related by blood, marriage, or decree of court, who are living in a single residence and who are:

  • A husband, wife, and dependent children
  • A parent or guardian and dependent children
  • A husband and wife
• Unemployed or at a job that does not support your financial needs and are experiencing difficulty in obtaining or upgrading employment
• Are a Dislocated Worker

  What is a Dislocated Worker?

  • Dependent spouse of a military member on active duty whose income was reduced due to: deployment, permanent change of station, or service-connected death or disability of that person.
  • Receiving or have exhausted unemployment benefits and are unable to find job in your last occupation.
  • Laid off but not eligible for unemployment benefits and are unable to find a job in your last occupation.
  • Received a notice of termination from your current employer due to company closure.
  • Self-employed and now unemployed due to economic conditions or a natural disaster.
  • No longer able to depend on the income of a family member.