Christmas Food Basket Application

Christmas Food Basket Application

Please complete this form to apply for Christmas Food Basket from Thornton Township Registration is open from October 19, 2020 – October 23, 2020
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address *
Phone Number *

Area Code Phone Number
Must be a Thornton Township Resident

Required documentation is Mandatory

Photo ID - Current State of Illinois Drivers License or Illinois State ID with current township residence

Proof of Residence - One of the following matching the address on the Photo ID.

•      Utility Bill (Water, Gas or Electric: August or September 2020)

•      Homeowner’s or Renter’s Insurance – Current date

•      Bank Statement (August or September 2020)

•      Credit Card Statement (August or September 2020)

•      Medical Card – Current date

   Proof of last 30 days of Income –Bring all that apply for each member of the household.

•      Unemployment Benefit Payment Stub

•      Current Income Verification from Department of Human Services (Public Aid)

           or Notice of Decision with TANF (not Food Stamps only)

•      Social Security Award letter

•      DCFS Award Letter

•      and/or the most recent check stub for the past 30 days from your Employer

Registration will not be completed without the above information.

This program is based on income and residence of Thornton Township only.

The dates above are the only dates that applications will be accepted.

Gifts will not be held past scheduled pick up.    No Waiting List.
THORNTON TOWNSHIP . 333 E. 162nd Street, South Holland, Illinois 60473 . Phone 708-596-6040 . Fax 708-596-3207 . www.thorntontownship.com

FRANK M. ZUCCARELLI, Supervisor

Trustees JOYCE M. WASHINGTON . NORBERT CIPOWSKI . GERALD "JERRY" JONES . STAFFORD C. OWENS

Clerk JACQUELINE E. DAVIS RIVERA . Assessor CASSANDRA ELSTON . Highway Commissioner GEARY DEPUE
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