Apply For A Shoe Voucher

Shoe Voucher Application

Our Shoe Voucher Application is open for the 2022-2023 school year! Please fill out the form below completely to qualify for a Shoe Voucher. If you have been selected, you will be notified via email or phone.

Parent Information

Parent First Name *

Parent Last Name *

Email Address *

Contact Phone *

Physical Address *

City *

State *

Zip Code *

Mailing Address

City

State

Zip Code

Household Income *

Income Frequency *

Weekly

Monthly

Annually

Upload Photo ID *

Maximum upload size: 5MB

Child 1 Information

Child 1 First Name *

Child 1 Middle Initial

Child 1 Last Name *

Child 1 Shoe Size *

Child 1 Date of Birth *

Child 1 Grade (2022-2023) *

Child 1 School Name *

Child 1 School Address *

Child 1 School City *

Child 1 School State *

Child 1 School Zip Code *

Child 2 Information

Child 3 Information

Tell us your story: *

Would you like to provide feedback to us as a recipient of a shoe voucher? By providing feedback, this helps confirm the validity of the program and allows us to celebrate you as a recipient. This includes making a comment on digital platforms, sharing a photo, or sending us a video saying a simple Thank You.

Yes

If yes, you will be contacted by a representative from Shoes For School to ensure you are able to share your testimonial.

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