Drive to Succeed Application - Essay & Affidavit
Click on the image below to download and print the essay and affidavit.
To be eligible to apply, applicants (students) must:
- Meet one or more of the following criteria:
- School reduced/free lunch participation
- WIC/SNAP household participation
- Medicaid enrollment
- Eligible for one of the above, but not enrolled
- Be between 15-1/2 to 20 years of age
- Live in Licking County
AND
Submit the following:
- Completed Drive to Succeed Application via Microsoft Form (link provided at the top of the page)
- Drive to Succeed Application - Essay and Affidavit emailed to dts@lickingcohealth.org
- Proof of driver’s permit emailed to dts@lickingcohealth.org
- Proof of student eligibility (refer to the criteria listed above) emailed to dts@lickingcohealth.org
If approved, a $10.00 fee is required. LCHD will notify you when payment is due via invoice.
