Back to School – Palatine Township

The Back to School Supplies program is for children attending grades K-12 for the 2024-2025 school year. You must be a Palatine Township resident to be eligible.

You must enter a new form for each child. Application deadline is July 1, 2024.

The school supplies must be picked up on July 30 or 31 between 9:00 AM and 3:30 PM.

Letters will be mailed by July 24 and will include details about School Supplies pick-up procedures. If you do not receive your letter by July 30 you must contact the Township at 847-358-6700.

AN APPLICATION SHOULD BE COMPLETED FOR EACH CHILD INDIVIDUALLY.

Back to School Recipient

General Assistance Case Number (if known)

Parent/Guardian #1 Name(Required)

First Last

Parent/Guardian #2 Name

First Last

Address(Required)

Street Address City State Zip Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Name of Child(Required)

First Last

School your child will be attending next year (2024-2025)(Required)

Grade your child will be in next year (2024-2025)(Required)

I am aware that participating in other organizations’ School Supply Programs is strictly prohibited. Agencies will cross reference lists, and if I am enrolled in more than one program I will be removed from Palatine Township Programs for one year. I hereby authorize Palatine Township to use my photo in Township materials including newsletter, website and to release my name to volunteers/churches, and other organizations. I understand that my name will not be released to soliciting organizations. By clicking this checkbox, it serves as my signature and indicates that I agree with the terms of this program.(Required)

I agree