Pre-Application: DACA Fee Assistance

(*) Indicates required

1. Please carefully review the following terms before proceeding with your pre-application. By clicking the checkboxes below, you confirm that you understand and meet the following program terms: * Required

2. Which of the following best describes your DACA application? * Required

What is your Employment Authorization Document (EAD) expiration date? * Required

3. Do you expect to receive financial support from any of the following? Select all that apply. * Required

4. How many people are in your household (including yourself)? Please enter a number. * Required

5. Do you have family members who depend on you financially? * Required

6. Currently, what is your average monthly income before taxes? Please enter a number. * Required

My individual monthly income is:

My household's monthly income is (including your individual income):

7. Have you or someone in your household gotten sick or been diagnosed with COVID-19? * Required

8. What is your date of birth? * Required

9. What is your home zip code? * Required

10. First Name * Required

(as it appears on your bank account or ID)

Last Name * Required

(as it appears on your bank account or ID)

11. Email * Required

(enter a personal email that belongs only to you)

12. Mobile * Required

13. How did you hear about MAF? * Required

14. Do you live, work, study in or have another significant connection to San Francisco? * Required

Some examples include attending religious services, receiving medical care, receiving legal services, participating in MAF’s programs previously, or participating in extracurricular activities.

Yes, I agree to receive information from MAF via SMS.

Message and data rates may apply. Please check our Privacy Policy and Terms & Conditions for more information. Reply HELP for help. Reply STOP to opt out. Message frequency varies.

Please complete the required questions