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Please complete the information requested on the STAR application and a Human Services staff member will follow up with you for a telephonic interview. You will be asked to provide proof of age, current proof of residency, and proof of ADA Paratransit Certification (if applicable) to Skokie Human Services. You may upload these documents to your application at the very bottom. Human Services will assist you if you are unable to do this.
First, Middle Initial, Last
Example: 01/01/1995
Name, Relationship
Please include area code
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
* indicates a required field