Secret Angels Christmas Assistance Application Form

Secret Angels Holiday Assistance Application

Thank you for reaching out to the Secret Angels. Our goal is to connect generous sponsors with families in need this holiday season. Please fill out the application below as thoroughly as possible to help us understand your situation and match you with an appropriate sponsor.
Primary Application (Your Name)*

First NameMiddle NameLast Name
Phone Number
Email Address
Please briefly tell us why you are reaching out for help this holiday season
# of people in your household in need of assistance
Family Member Details

For each family member in your household, please complete the section below.
Applicant #1 (You)
Date of Birth*

MonthDayYear
MM-DD-YYYY
Gender*

MaleFemaleOther
Please share your 3 most meaningful gift wishes
Applicant # 2
Name & Relationship to you:
Date of Birth*

MonthDayYear
MM-DD-YYYY
Age
Gender*

MaleFemaleOther
Please share their 3 most meaningful gift wishes
Applicant # 3
Name & Relationship to you:
Date of Birth*

MonthDayYear
MM-DD-YYYY
Age
Gender*

MaleFemaleOther
Please share their 3 most meaningful gift wishes
Applicant # 4
Name & Relationship to you:
Date of Birth*

MonthDayYear
MM-DD-YYYY
Age
Gender*

MaleFemaleOther
Please share their 3 most meaningful gift wishes
Clothing and Shoe Sizes
Applicant # 5
Name & Relationship to you:
Date of Birth*

MonthDayYear
MM-DD-YYYY
Age
Gender*

MaleFemaleOther
Please share their 3 most meaningful gift wishes
Applicant #6
Name & Relationship to you:
Date of Birth*

MonthDayYear
MM-DD-YYYY
Age
Gender*

MaleFemaleOther
Please share their 3 most meaningful gift wishes
Please share any other important information for us to know, including allergies and food sensitivities
Family Gift Card Suggestions
Are you going to request assistance from anywhere else?*
By submitting this application, you confirm that, to the best of your knowledge, all the informatin provided is accurate and verifiably true. You also give Secret Angels permission to verify any of this information. Please understand that if you are being helped by another agency in town, you might not also be helped by The Secret Angels.
Should be Empty:

Secret Angels Holiday Assistance Application

Family Member Details

Applicant #1 (You)

Applicant # 2

Applicant # 3

Applicant # 4

Applicant # 5

Applicant #6