Holiday Assistance

HANDS ACROSS THE BAY’S HOLIDAY

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 of want/needs for your children this holiday.*
We will be hosting a Christmas Kindness Shop at our center in Clearwater and if your application is approved, you will be able to select items for your children in person. The gifts will be picked out on a first come, first serve basis.*
- I understand.
While we will try to assist and accommodate as many children as possible, please understand that funds and gifts are limited. Parents must pass criminal background check as part of our nonprofit policy. Please only apply if you are truly in need of assistance.*
- I understand.
Have you received help from Hands Across the Bay before?*
Please be specific.
How did you hear about Hands Across the Bay and this application?*
Please be specific.
Consent
I agree to the privacy policy.