Serving Lubbock and Surrounding Counties

Providing Help, Creating Hope, Serving All People

We are dedicated to providing services to the most vulnerable and most in need in our community: at risk families, the young, the elderly and immigrants.

We are here with services to bolster and support their lives.

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Parent Empowerment Program (PEP) Inquiry Form

- Programs

The Parent Empowerment Program assists low-income individuals and families that are pursuing education and or training in order to transition out of poverty. This is a case management program and there are limited spaces available. If you would like someone from our staff to contact you, please complete this form. Please note that it could take up to 3 business days to receive a response.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Last 4 Digits of Social Security Number REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- What is your current education level REQUIRED Please fill out this field.
- Are you currently enrolled in school? REQUIRED Please fill out this field.
- If enrolled in school, please list name of school: Please enter valid data.
- If enrolled in school, what is your field of study? Please enter valid data.
- If enrolled in school, anticipated graduation date: Please enter valid data.
- Do you currently receive financial aid? REQUIRED Please fill out this field.
- Number of persons in your home REQUIRED Please fill out this field. Please enter valid data.
- Are there children under the age of 18 living in your home? REQUIRED Please fill out this field.
- Monthly gross (before taxes) income for all adults in your home REQUIRED Please fill out this field. Please enter valid data.
- How did you hear about Catholic Charities?
- Services requested/help needed: REQUIRED Please fill out this field.
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Parent Empowerment Program (PEP) Inquiry Form

Catholic Charities of Lubbock