2026 Westland Goodfellows “No Child Without a Christmas” Program Application

2026 Westland Goodfellows “No Child Without a Christmas” Program Application

Please complete all required sections of the application. Use the uploaded packet as the source for all fields and checklist items.
{q3_fullname1} To be considered you must

1. Be a City of Westland resident with children who reside with you FULL TIME. Proof of this must be attached.
2. Complete ALL portions of this application, and attach ALL required documents.
3. Answer all questions truthfully and accurately. False statements and/or missing documents may result in denial.
4. Applicant's SIGNATURE is required on the back page. A copy of a DRIVER'S LICENSE or STATE I.D. must be attached.
5. Submit the complete application and all documents by the deadline.
Applicant & Household Information
Applicant’s Name

First NameMiddle NameLast Name
Driver’s License or State I.D. #
Upload copy of ID:

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Military Veteran?
Spouse/Partner/Live-in Boyfriend or Girlfriend Name

First NameMiddle NameLast Name
Is copy of this ID attached
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Parents or other Adults living at this Address
Total number of people living at this address
Reasons for Applying

Use this area to list and explain the reason for applying
List any recent financial hardships, health issues, or any other special circumstances that will assist us in reviewing your application.
Children in Household

Children must be from 0-15 years old for the Goodfellows Program
How many children under the age of 15 in household?
Do your children attend Wayne-Westland Schools?
Please share the name of the school/s that your children attend below:
Child #1 Full Name

First NameMiddle NameLast Name
Child’s #2 Full Name

First NameMiddle NameLast Name
Child’s # 3 Full Name

First NameMiddle NameLast Name
Child’s #4 Full Name

First NameMiddle NameLast Name
Child’s #5 Full Name

First NameMiddle NameLast Name
Child’s #6 Full Name

First NameMiddle NameLast Name
Date of Birth Child #1

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Birth Child #2

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Birth Child #3

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Birth Child #4

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Birth Child #5

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Birth Child #6

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender - Child #1
Gender - Child #2
Gender - Child #3
Gender - Child #4
Gender - Child #5
Gender - Child #6
Upload a copy of proof of ALL birth documents (Birth Certificate) for each child

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Employment & Income
Applicant’s Employer
Applicant’s Employer – Monthly Gross
Upload copy of paystub of applicant and/or partner (or other proof of income).

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Spouse/Partner’s Employer
Spouse/Partner’s Employer – Monthly Gross
Unemployment (monthly amount)
Workman’s Compensation (monthly amount)
DHS Case Number
DHS Cash Assistance (monthly amount)
Social Security or SSI Amount (monthly)
Child’s Social Security or SSI (monthly)
Child Support (monthly amount)
Bridge Card/Food Stamps (monthly amount)
Other Income – Description and Amount
Housing Expenses
Total monthly housing cost
Your portion
Section 8 portion
Upload a copy of your mortgage or rent statement (MUST be the last 30 days)

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Explanation if there is zero housing expense
Application Checklist
Application complete / all questions answered
Listed working phone number and alternate
Attached copy of rent receipt or utility bill
Completed income section and attached recent proof of income
Attached copy of Driver’s License or State ID with current address
Attached copy of Birth Certificate or other verification of birth for each child listed
Authorization & Signature
Application Completed By

First NameMiddle NameLast Name
Applicant Signature
Application Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Applicant Printed Name

First NameLast Name
Child Wish List

Please fill out a wish list for each child who you are applying for the program
Parent’s Name

First NameLast Name
Child’s Name #1

First NameLast Name
Child #1 Age
Child #1 Gender
Please use this section to share wish list ideas. (Favorite color, character, team, game, toy) Please provide shirt, pants, PJ, coat, and shoe size.
Video game wanted
Game system
- Child’s Name #2
  
  First NameLast Name
- Child #2 Age
- Child #2 Gender
- Please use this section to share wish list ideas. (Favorite color, character, team, game, toy) Please provide shirt, pants, PJ, coat, and shoe size.
- Child’s Name #3
  
  First NameLast Name
- Child #3 Age
- Child #3 Gender
- Please use this section to share wish list ideas. (Favorite color, character, team, game, toy) Please provide shirt, pants, PJ, coat, and shoe size.
- Child’s Name #4
  
  First NameLast Name
- Child #4 Age
- Child #4 Gender
- Please use this section to share wish list ideas. (Favorite color, character, team, game, toy) Please provide shirt, pants, PJ, coat, and shoe size.
- Child’s Name #5
  
  First NameLast Name
- Child #5 Age
- Child #5 Gender
- Please use this section to share wish list ideas. (Favorite color, character, team, game, toy) Please provide shirt, pants, PJ, coat, and shoe size.
- Child’s Name #6
  
  First NameLast Name
- Child #6 Age
- Child #6 Gender
- Please use this section to share wish list ideas. (Favorite color, character, team, game, toy) Please provide shirt, pants, PJ, coat, and shoe size.
Should be Empty:

2026 Westland Goodfellows “No Child Without a Christmas” Program Application

{q3_fullname1} To be considered you must

Applicant & Household Information

Reasons for Applying

Children in Household

Employment & Income

Housing Expenses

Application Checklist

Authorization & Signature

Child Wish List