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  • Client Application

  • Johnson County Christmas Bureau

    email: ClientServices@jccb.org

    Phone: 913 210 4975  Spanish: 913 210 4427

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  • The Note below will be included in Emails to the Client. The Commentary below will not be.


  • IF APPROVED APPOINTMENT DATE WILL BE SENT VIA EMAIL

  • HOUSEHOLD MEMBERS - List yourself and all people in your household that live with you full-time. As you type in a name more boxes will open for more names. List unborn children as "Unborn" in the Last Name box, check Unborn in the Gender box and put "0" in the Age in Years box.  Input the age of childrem under 12 months as "0".

  • Fill in Others in your Household Below

    *For each person in your household give the monthly income, including salary, unemployment, child support, alimony, state aid, food stamps, fosterchild subsidies and disability. If you qualify, you will receive an Email with the date and time of your appointment

  • Shop Dates are Friday, December 5 through Saturday, December 13. Mark the times with an x you can come to shop. 

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  • Select yes below to declare the information to be true, authorize release of information to determine eligibility, and understand that you can only receive Holiday Assistance from one agency. Submitting an application does not guarantee an appointment.

  • Should be Empty: