Applications are accepted October – April of each year.

Please fill out the form on this page completely. If you do not see the confirmation, then please contact 360.376.3500.

You will need to provide:

  • Last three (3) months income for ALL household members (includes, but is not limited to: spouse, roommates, minors, child support, alimony, unemployment, disability, food stamps, local charitable programs, social security and gifts/support from family and friends).

Applications are taken to the Resource Centers on Orcas, San Juan, and Lopez Islands.

Project PAL Assistance Application

  • * indicates required information
  • Address * Required
  • Applicant

  • Are you on disability?
  • Do you get any Federal or State Assistance?
  • Other Household Members

  • Second household member

  • Third household member

  • Fourth household member

  • Project PAL is about Members helping Members. We encourage PAL applicants to round up their bill to help fund the next member in need. This works out to about $6 per year. May we round up your bill each month?
  • This field is for validation purposes and should be left unchanged.