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The Little Black Bag Inc. Application For Services

The Little Black Bag Inc. offers services to individuals and their dependents to receive a monthly donation of menstrual products for a 6 month period. Please read the information below to better understand the process.

I. Individuals must qualify for services by completing an application process.

 

II. Services are based on a rolling application process. At any time, anyone can apply to receive services. Services are given on a first come first serve basis. 

 

III. All packages and products will be sent out via mail. Recipients are responsible for ensuring that they receive their products by maintaining an accurate address on file

 

IV. Currently, The Little Black Bag Inc. is only serving North Carolina. All applicants must list a North Carolina address to receive services. Products will be sent to the address on the application. However, we hope to service other states soon to help combat the war of period poverty.

 

*** Please note that many of our products are donated. Therefore we are not permitted to take brand requests nor can we ensure what brand of products applicants will receive. The Little Black Bag Inc is not responsible for any health related issues linked to the usage of any menstrual products that are donated. ***

Race
Were you referred by an organization or individual?
Please select the type of products you prefer (select all that apply):
Are you applying for someone under the age of 18? (Must be the parent or guardian of the applicant):
Are you under the age of 18 applying for services under special circumstances?

Please note that submitting this application requires proof of income, from all places of employment, by way of your last two pay check stubs.

Any children requiring services are to show proof of address by submitting an official report card from their school of attendance for the current school year.

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Thanks for applying! We'll get back to you soon.

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