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Eligibility Form
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GET INVOLVED
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Eligibility Form Description
BHT Eligibility Form
Please enter your age in years
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Do you live within the service area of District 5?
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I'm not sure
How many individuals live in your home?
*
1 individual
2 individuals
3 individuals
4 individuals
What is your total annual household income before taxes? Please enter your total annual household income for all adults combined.
*
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Home
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Get Involved
Our Impact
About
Mission, Vision, Values
What We Do
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Home
Get Help
Check Eligibility
Apply for Services
More Resources
Get Involved
Our Impact
About
Mission, Vision, Values
What We Do
Our Team
Contact
Home
Get Help
Check Eligibility
Apply for Services
More Resources
Get Involved
Our Impact
About
Mission, Vision, Values
What We Do
Our Team
Contact
Home
Get Help
Check Eligibility
Apply for Services
More Resources
Get Involved
Our Impact
About
Mission, Vision, Values
What We Do
Our Team
Contact
Home
Get Help
Check Eligibility
Apply for Services
More Resources
Get Involved
Our Impact
About
Mission, Vision, Values
What We Do
Our Team
Contact
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