2024 STEALTH Applicant Application

2024 Application

STEALTH HOLDIAY PROJECT
Applicant
Name *

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Marital Status
Phone Number
Please enter a valid phone number.
Can you receive/send text messages to this number

YesNo
Email
example@example.com
Please describe your current living situation
Ethnicity/Race
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Special Factors
Has the family been impacted by any other situations or life circumstances that have affected their day to day operation?

YesNo (skip to next section)

Donation Delivery Information
Disclaimer

We prefer that the help we provide to families be kept a secret from the children in order to preserve the dignity of the parents involved, and to preserve the "magic" of Christmas. Deliveries will be done on the days leading up to and on Christmas day. (Dec 16-21st). Do you have a safe, secure location to hide these items until Christmas? If not - we would like to make all attempts possible to not deliver until Christmas Eve.
How would you like to receive your donations?

Pick-upDelivery
If you do not want the gifts delivered to your family's residence, please provide the delivery address. Please include the name and phone number of a contact person who can be reached to arrange delivery to this location DROP-OFF ADDRESS (INCLUDE CONTACT PERSON/PHONE#)

Special Needs
Does anyone living in the home have a chronic illness or disability?
Please include any information (that you wish to) about any special needs of family members
Any information will be used solely to determine eligibility and need for assistance and will not be disclosed. You may want to include information about employment, health struggles, or other circumstances that have led you to seek assistance this holiday season. Please share any other information about the family's struggles / needs that can help us determine how we can best help.

Information about Children
Are there any children under the age of 18 in the household you are applying for?

YesNo
List each person under the age of 21 living in the household. Be sure to include as much information about the child's preferences, interests, etc. Note any specific toys they have requested, as well as any shows or characters they love. Include a short wish list for each child, especially if any child has one primary request (please include it- even if the item is expensive or seems unlikely to be granted).

This is especially important if you have a child who does not like toys that are stereotypical of their age and gender - we want to match the kids with things they will enjoy - so if your son loves Barbie dolls, or your daughter wants hot wheels cars - please be sure to note this, and make a note of any aversions to specific toys (we definitely understand that some little girls want science kits and not dolls!)

For older children, this wish list is even more important (since they generally do not want toys). Please be as specific as possible about brands they like - last year we did get several brand new, brand-name items, like Adidas and Nike Sneakers, several make-up kits and gift cards, etc. The older kids are harder (and more expensive) to buy for so they may get fewer items, but with an equal value to the younger children. Please remember to include things like sports equipment, types of clothing, etc..

Please be sure to list each child's current (or next) clothing size - or a range of sizes if the child needs clothing they will soon grow into. Please include sizing for boots/winter wear for this current year.

We do our best to choose items that will work for each child, and we often communicate with parents during the collection process. We can not update you as items are collected, but we will touch base with any questions we have.

There is a space at the bottom for any family wish list items - for example, if the family or several children need a household computer to share - or if the family needs a television or stereo- this would be the place to list that.

Child # 1
Name

First NameLast Name
Gender
Age
Shirt Size
Pant Size
Coat Size
Please select any clothing items desired for this child
Clothing Style/Preferences/Restrictions, etc
WISH LIST (Please include your child's interest, favorite type of toys - Anything that will help us choose toys that they will most appreciate and enjoy)

Child # 2
Name

First NameLast Name
Gender
Age
Shirt Size
Pant Size
Coat Size
Please select any clothing items desired for this child
Clothing Style/Preferences/Restrictions, etc
WISH LIST (Please include your child's interest, favorite type of toys - Anything that will help us choose toys that they will most appreciate and enjoy)

Child # 3
Name

First NameLast Name
Gender
Age
Shirt Size
Pant Size
Coat Size
Please select any clothing items desired for this child
Clothing Style/Preferences/Restrictions, etc
WISH LIST (Please include your child's interest, favorite type of toys - Anything that will help us choose toys that they will most appreciate and enjoy)
ADDITIONAL CHILDREN - Please list the names & ages of any additional children in your household - Please include all the information above for any other children in the household.

Eligibility and Rules
I understand that the S.T.E.A.L.T.H. Holiday Project is per individual; not per household.*

YesNo
I understand this application will be reviewed by the Stitches staff and submission does not guarantee acceptance. By agreeing to this form, I certify that this information is true to the best of my knowledge.*

YesNo
I allow the information provided to be used by members of the selection committee and the S.T.E.A.L.T.H. Holiday Project. I understand that if I knowingly give false information, I will not be granted assistance.*

YesNo
Please know that all information is kept confidential. We do not release the names of the families who are requesting or receiving help because we believe that DIGNITY is crucial. Some recipients choose to share photos or make a thank-you message public. This is done by choice - we do not require any kind of public recognition. While we love to hear from the families about how we've been able to help them - we would never want anyone to share identifying information that might embarrass them or their children.
I agree to the Donor Waiver & Consent*

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