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Home
Who We Are
What We Do
How You Can Help
- Donation Center
- Donate
Events
Contact us

Holiday Assistance

Holiday Assistance

Parent Full Name*
Prefix First Last
Parent Date of Birth
Date Format: MM slash DD slash YYYY
Please upload a copy of your Photo ID/ Drivers License*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email Address*
What is your preferred method of contact?
- Call
- Email
- Text

Please list child name, gender and age for each child (NOTE: Click + sign to add additional children)*

Name	Gender	Age

Are you currently employed?*
- Yes
- No
Where are you employed?*
Please explain why you are currently unemployed.*
Total Household Monthly Income*
Please give a brief description of the underlying circumstances surrounding why you are in need of holiday assistance.*
Please provide a detailed and organized list your children want/needs for the holiday.*
We will be hosting a Christmas Kindness Shop and you will be able to select items for your children. First come, first serve.*
- I understand.
While we will try to assist and accommodate as many children as possible, please understand that funds are limited and requests are granted on a first come, first serve basis. Please only apply if you are truly in need of assistance. We may also provide gift cards.*
- I understand.
How did you hear about Hands Across the Bay and this application?*
Please be specific.
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