Online Application
(South Central PA Only)

In order to be considered for this program, you must be pregnant OR be the guardian of at least one child under the age of 18 that lives with you at least 50% of the time.

Once we receive a completed application, our case manager will call the applicant to set up either an in person or zoom intake. During the intake we will go over the application and the needs of the family. We will then do a background check. Families are not eligible for our program if they have a violent felony or abuse of children on their record. 

You can fill out the application by downloading it here

OR you can fill out our form online here.

**We are located in South Central Pennsylvania. We only serve families from this area.

Click here to apply online.

Click here to download our application.