To submit this form, email it to s.clark@holidaygivingproject.org or fax it to 555-123-4567. Alternatively, you can mail the form to: Holiday Giving Project, 123 Assistance Ln, Charity City, MD 12345. My advice is to ensure all sections are completed accurately and submit the form before the deadlines for Thanksgiving and Christmas assistance.

Key dates to remember for submitting this form are: November 1st for Thanksgiving assistance and November 20th for December holiday assistance.

The purpose of this form is to provide a structured way for low-income families to request and potentially receive assistance during the holiday season. The Holiday Giving Project has been supporting families for over 30 years through a network of social workers, school counselors, and human service professionals who refer families in need. By completing this form, families can be considered for aid provided by local non-profits, faith-based organizations, and public agencies, subject to donation availability. This process ensures that assistance reaches those families who are truly in need and helps bring joy and relief during the holiday season.

• 1. CONTACT INFORMATION: Includes fields for email, phone number, and alternate phone number.
• 2. ADDRESS: Includes fields for house number, street name, apartment number, city, state, and ZIP code.
• 3. ASSISTANCE REQUEST: Allows you to request assistance for Thanksgiving and December holidays by checking 'Yes' or 'Decline'.
• 4. FAMILY DETAILS: Includes fields for listing the names, ages, and gender of each child in the household.
• 5. ADDITIONAL NEEDS: Optional checkboxes to indicate other needs such as food assistance, housing assistance, and more.
• 6. CONSENT: A consent section requiring your signature and date, confirming your request for referral and understanding of information sharing.

Failure to submit this form may result in missing out on holiday assistance for your family.

• Missed Assistance: You may not receive holiday meals or gifts if the form is not submitted on time.
• No Referral: Your family will not be referred to the Holiday Giving Project for potential aid.
• Unmet Needs: Additional needs like food or housing assistance may not be addressed without the form submission.

• 1. Holiday Meals: When you require Thanksgiving or December holiday meals.
• 2. Gifts for Children: When you want to request gifts for your children during the holidays.
• 3. Additional Assistance: When you need extra help with food, housing, or other services.
• 4. Referral by Professionals: When referred by a social worker, school counselor, or human service professional.
• 5. Low-Income Households: If your household is experiencing financial difficulties and needs support during the holiday season.