Parent Support Program Application

Our mission at The Inn Academy is to assist parents or guardians of children 6wks-4yrs old through our Parent Support Program at The Inn Corsicana. This program offers case management, no cost and low cost transportation, peer support, One-on-one Financial Planning Meetings: “Budget Like a Boss”, GED/Professional Certifications and parenting classes through partner agencies.

One of the many benefits of participating in this program, is no cost and low cost drop in care for children 4 years old and under while the parent is working towards stability and discovering their purpose in life!

Name

First Name

Last Name

Phone

(###)

###

####

Address

What services are you interested in? (check all that apply)

The Drop-Inn Academy: Parent Support Program

The Inn Academy: Paid Job Training and Life Skills Classes

Education Assistance: GED and/or Professional Certification in an in demand job

1st Child's First Name and Last Name:

1st child's date of birth

2nd Child's First Name and Last Name:

2nd Child's Date of Birth

3rd Child's First Name and Last Name:

3rd Child's Date of Birth:

Why are you wanting to join the Parent Support Program?

Any member of our program must have a desire to be free and clear of all mind altering substances. Do you have that desire or are you willing to accept help to become free of all mind altering substances?

Are you employed? If so, what is the name and address of where you work, how long have you worked there?

Are you in school or would like to start/go back to school?

Transportation: do you have reliable transportation to get to and from work, school, childcare and program related classes? If no, please let us know how you have been getting around:

Please list out the times and days of the week you are requesting care for your child(ren). Our no cost and low cost childcare is on a first come first serve basis along with staff availability.

Does your child have any special needs? Daily medications? Diagnosis? If yes, please specify:

Please check all that apply:

6 weeks - 23 months: $75/wk

24 months - 4 years: $50/wk

4 hours drop in: $10

8 -10 hour drop in: $25

Info on Program Scholarships

How did you hear about us?

Anything else we should know?

Parent Support Program Application

Tax Info