Applicants must have bills in their name, be pregnant, live in Douglas County and have a source of income. The applications will be reviewed as received. Please allow up to 15 business days for review and processing of applications. Applications must be filled out completely to be considered.
Questions: Contact Emily Larsen at 402-709-2659 or email@example.com.
Please remember you will be required to prove that you saved the money before being matched - this will be done by providing a bank statement to Project Everlast. Fill this form out to the best of your ability and knowledge before turning it in.
I certify all information on this application is true, complete, and accurate. I understand any information given falsely or withheld may make me ineligible for consideration or award. I understand that funds must be used for the purpose stated on this application and that I will be required to submit proof of purchase. I also understand that money received through the Maternity Savings Program is considered income by the IRS and must be reported for tax purposes.