Apply — Grant County Holiday Project

Your answers are private. We use them only to prepare your family's gifts, and we never share your name with donors or sponsors without your permission.

Rather not do this online? That's just fine:

Call our message line at 608-723-2136 ext 1194 and we'll mail you a paper application.
Or print the paper application and mail it back to the address printed on the form.

A note on who this program serves: it's for Grant County households with children, and for adults who are over 65 or permanently disabled. If you're not sure whether that's you, apply anyway — a volunteer will look at your application with care.

Please apply to only one holiday project in Grant County. Applicant names are shared among the county's projects, so applying in more than one place can hold up your gifts.

About you

First name

Last name

Street address

Town

Phone number

Email address

Type your email again

Someone in my household is diabetic A generous neighbor may sponsor your family. They will never be told your name — only what your family needs. May we share your needs this way? Everyone I have listed lives in my home (children live here at least half of the time)

How many years have you received help from the Holiday Project? (enter 0 if this is your first year)

Were you sponsored ("adopted") last year?

Yes No

Bedding

Would you like sheets or a blanket?

Sheets A blanket No thank you

Bed size (skip this if you chose "no thank you")

Work and income

Please list every job in your household — we're required to ask. If no one is working right now, just check the box below.

Job 1

Employer's name

Who works this job?

Hourly wage (dollars)

Hours worked per week

No one in our household is currently employed

Benefits

For each one: enter the amount you receive, or check "we don't receive this." You never have to guess — your award letters have these numbers.

Food Share

Monthly amount (dollars)

We don't receive this

Social Security

Monthly amount (dollars)

Who receives it?

We don't receive this

SSI

Monthly amount (dollars)

Who receives it?

We don't receive this

Child support

Monthly amount (dollars)

Who receives it?

We don't receive this

Unemployment

Weekly amount (dollars)

Who receives it?

We don't receive this

Other income

Monthly amount (dollars)

Who receives it?

We don't receive this

Your household

Tell us about each person living with you, including yourself — you're Person 1. Children must live in your home at least half of the time to be listed. Clothing sizes help us pick things that fit; leave blank anything they don't need.

Person 1 — you

First and last name

How are they related to you? If you chose "Other," describe it here

Sex

Male Female

Age

This person is permanently disabled This person lives in my home only part of the time

Clothing sizes (leave blank anything they don't need)

Pants size

Shirt/top size

Underwear size

Socks size

Shoe size

Coat size

Diapers size

Gifts or toys they'd like

We can't provide expensive items like iPods, laptops, games, or TVs.

Blended families (optional)

If a partner or another adult in your home is a parent of only some of your children, tell us which children are theirs. Leave blank if this does not apply.

Pay it forward

The Holiday Project runs on kindness, and everyone has some to give. To receive gifts, we ask you to share one act of kindness you've done in your community — things like shoveling a neighbor's snow, giving someone a ride, or visiting someone who's lonely. (Helping your own family, or work you're paid for, doesn't count for this — the idea is to reach someone new.)

Tell us about one good deed you've done

Apply for Holiday Help

About you

Bedding

Work and income

Benefits

Your household

Pay it forward