Holiday Giving Tree – 2018

The Holiday Assistance Application is now OPEN. You may still complete the application below, but please know you will be placed on a waiting list. Completing an application does not guarantee supports or services.

Please submit the following Intake Form so that we may determine your eligibility for the HOLIDAY ASSISTANCE program.

*** Submit one application for each eligible child. ***

Parent/Guardian Info

First Name (required)

Last Name (required)

Last 4 digits of SS# (required)

Address (required)

Address 2

City (required)

Zip (required)

Phone (required)

Your Email (required)

Gender (required)
MaleFemale

Race (required)

DOB (required)

Division of Child and Family Services Involvement?:
YesNo

Do you receive any of the following benefits?:
UnemploymentMedicaidFood AssistanceCash Assistance

Do you qualify for one of the following?:
Free LunchReduced Lunch

Household Monthly Income (required)

Please complete the following information for each eligible child in your family.

Child Info

Name

DOB

Gender
MaleFemale

School

Grade

Size

Interests, Hobbies, Characters/Teams

Wish List Items (Please note, these wishes are not guarantees)

IF APPLICATION IS APPROVED, availability to shop in the Santa Shop (check all that apply):
Mornings 10-12Afternoons 1-5Evenings 5-7

PLEASE NOTE: This application does not guarantee Holiday Assistance. IF YOU ARE SELECTED to receive assistance, you will receive an invitation to our Santa Shop where you can select gifts from Santa's store, and then wrap the gifts for under your tree.

Please review all information before submitting!