Please expand the sections below as needed for your household members. When complete, click "Next" to proceed.
The information provided in this application packet is complete and accurate to the best of my ability. I authorize STEP, Inc. to exchange, with other agencies and STEP programs, any inofrmaiton that is pertinent ot the delivery of services requested or potentially available. A copy of this authorization shall be considered valid.
This release is effective while receiving services through Service Navigation not to exceed one year.
If you are determined ineligible through the Service Navigation General Registration (Community Service Block Grant) and disagree with this decision, you have the right to appeal. To appeal this decision, please submit your reason for disagreement along with your name, address, and telephone number in writing to Melissa Magargle, at 2138 Lincoln Street, Williamsport PA 17701 or to firstname.lastname@example.org. Your appeal will be mailed within 14 calendar days of receipt.