Holiday Giving Request Form

BBBSPY is fortunate to have support from corporate and community donors over the holiday season. This allows us to help families who could really use a little holiday magic. If your family could benefit from our Holiday Giving Program this year, please complete the application below.

It is important to note that submitting this request form does not guarantee your participation in the Holiday Giving Program. Selected families will be notified as soon as they have been chosen for sponsorship.

If you have any questions, please contact your Caseworker. Thank you for your understanding.

Your Name(Required)

First Last

Phone(Required)

Email(Required)

Please select your Caseworker(Required)

Please select the number of people you are requesting holiday support for(Required)

1-2 people

3-4 people

5+ people

What is your total annual household income? (Before taxes)(Required)

We understand income is not the only predictor of need, we will take all the information you provide us with into account when selecting families for the Holiday Giving Program.

Prefer Not To Say

Less than $30,000/year

$30,001-$50,000

$50,001-$75,000

More than $75,000

Please explain why you feel your family would benefit from the Holiday Giving Program this year.(Required)

We understand this may be sensitive or difficult information to share. Please know we will treat all information contained in this form with the utmost respect.

Person 1(Required)

Ex. Sarah - Daughter - 10

Name Relation Age

Person 2

Name Relation Age

Person 3

Name Relation Age

Person 4

Name Relation Age

Person 5

Name Relation Age

Person 6

Name Relation Age

Person 7

Name Relation Age

Comments

This field is for validation purposes and should be left unchanged.