757 We Care Holiday Toy Drive

757 We Care's Holiday Toy Drive Application

757 We Care is looking to assist families in need during this holiday season. All families with children can apply in the Hampton Roads area. To ensure that all approved applicants are served, a government issued ID and proof of address are required. You must bring these required documents on at pickup. Please only submit one application per household. The Toy Pick Up location and event will be emailed with your approval.
Name of Applicant*

PrefixFirst NameMiddle NameLast Name
Applicants Birthdate*

MonthDayYear
Applicants Phone Number*

Area CodePhone Number
Applicants E-mail Address*
Applicants Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child(ren) Info*
Select which of the following you receive:*

Single Parent (Mother)Single Parent (Father)Two Parent HomeFoster ParentOther
*Please Read Carefully

Each application is submitted as a request and therefore not guaranteed. All application decisions are granted at the sole discretion of 757 We Care and its partners. Please fill out all required information so we can keep you updated on your application status. To ensure that all approved applicants are served, a government issued ID is required upon pickup.

If you have any questions please leave it in the box below.
Comments or Questions:
Electronic Disclosure and Signature Agreement
- I know that any information given to 757 We Care's Holiday Drive will be protected and kept confidential.
- I know that the information on this application is needed to determine eligibility for 757 We Care's Holiday Drive and/or my Income Eligibility Criteria or residential information will be checked.
- By entering your name on the signature line, you are signing this Application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this Application and is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You further agree that your electronic signature grants 757 We Care's Holiday Drive the permission to confirm, where applicable, your income eligibility criteria, and or the residential information entered on this application.
Electronic Signature*
First and Last Name
DateTime
Should be Empty:

757 We Care's Holiday Toy Drive Application