Email * Last 4 of SSN Phone * Diaper Choice * --- Disposable Cloth Have you ever applied for or received diapers from Dakota Diaper Pantry or another diaper charity? * Where have you received diapers from? And what did you receive? How many working adults are in the household at least part-time? * Have you or someone in the household been restricted from working at least part time due to the COVID-19 pandemic? * What is your highest level of education? Are you currently enrolled in higher education/training? If so, what program/where? * Do you/your family currently receive any benefits such as WIC, SNAP, Medicaid, or TANF? * How many people are in your family? * How many individuals are you requesting diapers for? * Receiving diapers for my dependents will allow me to do the following (Check as many as applicable) * The diapering supplies provided will be solely for use by my dependents. I will not sell or otherwise redistribute them. If I no longer have a need for them I will return them to Project BEE. (Contact Project BEE for return information) * I certify that the answers I have given to application questions are a complete and accurate representation of the truth. Any findings of misrepresentation or undisclosed relevant information will result in automatic denial of application * I understand that program is Minot, ND based and to participate, I will have to be able to pick up items in Minot, ND. There is no shipping of products. How did you hear about us? Please upload ID of parent applicant *
All applicants must provide proof of identity. (Ex: driver's license or other photo ID. Photo is required.)
Please upload proof of parenting *
All applicants must submit proof of parenting (birth certificate and or custody paperwork).
Please upload proof of need *
Applicants must be one or more:
Income restricted- If income is restricting you from getting diapers, and you qualify for any government assistance (Medicaid, SNAP, WIC, etc.), please submit proof of assistance.
Furloughed- If you are affected by a government shutdown, Please upload your government ID or paperwork showing you are a government employee and are not getting paid due to the shut down.
US Veteran or Active Duty in immediate Family- Show LES, DD214, or ID card.
Fostering children- Show placement paperwork.
Disaster victim- Must show proof from Red Cross.
Refugee- Must show proof from USCIS.