Programs

Backpacks

SMEA would like to provide a backpack full of school supplies to all dependent children of SMEA members in need. If you or a SMEA member you know needs a backpack, please fill out the application below.

DEADLINE June 14th

SMEA members who are selected will receive backpacks with school supplies for their dependent child/children grades K-12. (Note: you may be asked to provide proof of dependency) please click here for a paper application.

DEADLINE June 14th

Backpack Application

First Name*
Last Name*
Email*
Phone*
Address
Street Address Address Line 2 City State ZIP Code
Employee ID*
Status*
Store #, Division, or Dept*
Marital Status
Spouse Name
Spouse Employer
List all dependent children in SMEA members home.
You may be asked to provide proof of dependency.
List
Name Age Grade school year 2020/2021 Gender Relationship to SMEA Member
Please provide a short summary of why you are nominating your family or this SMEA member for the Backpack Program.*
REQUIRED
By filling out the information below, I acknowledge that all information provided is accurate and true, and that I'm aware SMEA maintains a strict confidentiality policy, but I understand that the Manager or Supervisor may be contacted to assist with processing this application. Your information is required if you are nominating another SMEA member or if you are nominating yourself.
Sign Full Name*
Today's Date*
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Name	Age	Grade school year 2020/2021	Gender	Relationship to SMEA Member