Please complete the following application in order to be considered for services through All Community Outreach.

Once you fill out the application, please call ACO at our main line at 972-727-9131 to begin the process.

Please select your Language.

Is this your first visit to ACO?

YesNo

I know my Client Number I don't know my Client Number

Client Number

First Name (Head of Household)

Middle Name (Head of Household)

If you do not have a middle name, please leave this blank

Last Name (Head of Household)

Date of Birth (Month/Day/Year)

Race:

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhiteMultipleOther

Ethnicity:

HispanicNon Hispanic

Mailing Address

City

State

Postal Code

Email Address

If you do not have an email address, please use the following address: none@acocares.org

Phone Number

If you do not have a phone number contact ACO at (972) 727-9131

How many CHILDREN in your household age 0 - 17?

How many ADULTS in your household age 18 -59?

Make sure to include yourself

How many SENIORS in your household age 60 or older?

Please mark all of the following which apply to you:

DisabledDisplaced by Natural DisasterHomelessSingle ParentUS Citizen Veteran

Do you have a high school diploma or GED?

YesNo

Are you currently employed or unemployed?

EmployedUnemployed

How can ACO help you?

Cares Center Clothing/Household Items VoucherEmployment Services (Resume/Job Search)

Financial Coaching

FoodMedical Sick VisitsObtaining your GEDRent/Mortgage AssistanceRX Assistance

Utility Assistance – Atmos

Utility Assistance – Coserv

Utility Assistance – Other

Utility Assistance – TXU