Family Settlement In-Kind Donation Form

In-Kind Donation Form

Syrian Family Settlement
This form is for listing the details of up to 4 donated items. If you have more than 4 items, please skip ahead to the Contact Information at the end of the form so a Humanserve volunteer can phone you to get the details.

For a list of needed items, please visit our In-Kind Donation Registry.

(Required fields throughout the form are marked with an asterisk*)
Item Storage:
Humanserve has been alerted by Immigration, Refugees and Citizenship Canada that they are working on having the family arrive in the fall of 2021, but they cannot give an exact timeline. Therefore, we have not yet secured a home for the family, and we do not have a place to store donated items. Please choose one option below: *

I will keep the item(s) until I am contacted by Humanserve and will need my donation to be picked up I will keep the item(s) until I am contacted by Humanserve and can deliver I do not have space to store my donation (moving, renovating, etc.) and would like to be contacted to discuss arrangements to have it stored elsewhere
Donation Information

Item 1
Item 1 - Offer Type:

I found this item on Humanserve's In-Kind Donation Registry I am offering an item not listed on the registry
Item 1 - Name:
Item 1 - Brief description:
(Describe material, colour, brand, etc.)
Item 1 - Dimensions (Optional): The approximate size in inches is width X length X height .
Item 1 - Image (Optional): If you have a picture of the item, you can upload it here:

Item 2
Item 2 - Offer Type:

I found this item on Humanserve's In-Kind Donation Registry I am offering an item not listed on the registry
Item 2 - Name:
Item 2 - Brief description:
(Describe material, colour, brand, etc.)
Item 2 - Dimensions (Optional): The approximate size in inches is width X length X height .
Item 2 - Image (Optional): If you have a picture of the item, you can upload it here:

Item 3
Item 3 - Offer Type:

I found this item on Humanserve's In-Kind Donation Registry I am offering an item not listed on the registry
Item 3 - Name:
Item 3 - Brief description:
(Describe material, colour, brand, etc.)
Item 3 - Dimensions (Optional): The approximate in inches is width X length X height .
Item 3 - Image (Optional): If you have a picture of the item, you can upload it here:

Item 4
Item 4 - Offer type:

I found this item on Humanserve's In-Kind Donation Registry I am offering an item not listed on the registry
Item 4 - Name:
Item 4 - Brief description:
(Describe material, colour, brand, etc.)
Item 4 - Dimensions (Optional): The approximate size in inches is width X length X height .
Item 4 - Image (Optional): If you have a picture of the item, you can upload it here:

Contact Information & Submission
Your Full Name *

First Name Last Name
Phone Number *
E-mail *
I live in Edmonton:

Yes No
Please indicate your preferred method of contact:

Phone daytime only Phone evening only Phone anytime Email
If you are in contact with a Humanserve board member, please provide their name below:
Comments or questions:
Please subscribe me to Humanserve's eNewsletter: *

Yes No I am already a subscriber
Please verify that you are human *
Should be Empty:

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In-Kind Donation Form