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Joplin Area Fire Fighters Christmas for Kids Application
Toy giveaway: December 18th, 2018

Contact us at ffchristmas4kids@iafflocal59.org
Please follow us on Facebook at https://www.facebook.com/JoplinAreaFirefightersChristmas4Kids/

Email address *
Name of the person completing the application *
This remains confidential.
Your answer
Person completing the application *
Legal Guardian Name *
EVERY child has a mother and a father or an adult that is the legal guardian, the primary caregiver.
Your answer
Guardian Phone Number *
Your answer
Street Address for the family *
Your answer
City of residence for the family *
Primary/Guardian email
Your answer
Primary/Guardian Social Security Number
You will need to provide this for acceptance, if you do not have one you will need to add that to your circumstances later.
Your answer
Primary/Guardian Place of Employment
Your answer
Is the Primary/guardian a legal U.S. citizen *
Other parents name
EVERY child has a mother and a father, this helps if we receive additional requests for assistance, not a determining factor for assistance.
Your answer
Other parent phone number
Your answer
Other parent email
Your answer
Other parent Social Security Number
Your answer
Is the Other parent/guardian a legal U.S. citizen *
Does the other parent live in the home? *
Yearly Household Income *
EVERYONE HAS INCOME, we are not the IRS.
Your answer
Additional Income *
Additional Income not calculated above. We are not the IRS.
Your answer
Have you received assistance from the Joplin Area Fire Fighters Christmas for Kids program in the past? *
If you answered YES above, when did you receive assistance form this program?
If you answered NO please put NA below.
Your answer
Are you receiving assistance from another program? *
If you answered YES above, list the programs assisting you?
If you answered NO please put NA below.
Your answer
Have you applied for assistance with other programs? *
If you answered YES above, list the programs you have applied for assistance?
If you answered NO please put NA below.
Your answer
Family History/Circumstances (The more information you provide will better assist approval) *
Your answer
CHILD #1 Name *
Your answer
CHILD #1 Age *
Your answer
CHILD #1 Gender *
CHILD #1 Ethnicity
Your answer
CHILD #1 Shirt/Coat size
CHILD #1 WISH LIST
Your answer
CHILD #2 Name
Your answer
CHILD #2 Age
Your answer
CHILD #2 Gender
CHILD #2 Ethnicity
Your answer
CHILD #2 Shirt/Coat size
CHILD #2 WISH LIST
Your answer
CHILD #3 Name
Your answer
CHILD #3 Age
Your answer
CHILD #3 Gender
CHILD #3 Ethnicity
Your answer
CHILD #3 Shirt/Coat size
CHILD #3 WISH LIST
Your answer
CHILD #4 Name
Your answer
CHILD #4 Age
Your answer
CHILD #4 Gender
CHILD #4 Ethnicity
Your answer
CHILD #4 Shirt/Coat size
CHILD #4 WISH LIST
Your answer
CHILD #5 Name
Your answer
CHILD #5 Age
Your answer
CHILD #5 Gender
CHILD #5 Ethnicity
Your answer
CHILD #5 Shirt/Coat size
CHILD #5 WISH LIST
Your answer
CHILD #6 Name
Your answer
CHILD #6 Age
Your answer
CHILD #6 Gender
CHILD #6 Ethnicity
Your answer
CHILD #6 Shirt/Coat size
CHILD #6 WISH LIST
Your answer
Additional Information
Your answer
I understand that if I do not fill out the application completely and honestly that my application will be null and void. By agreeing to this you will provide social security cards for each parent/guardian/child and proof of residency and a legal photo ID. You may send a photo or scanned copy of the social security cards for each parent/guardian/child, proof of residency and a legal photo ID to ffchristmas4kids@iafflocal59.org to speed up the application process. If the contact phone numbers and or emails are not working, the application will be moved to the bottom of the list. Sponsors are not responsible for the application evaluation. The application review process is based on need and the resources available. Applicants may be denied due to inappropriate behavior toward the volunteers. The Joplin Professional Fire Fighters Local 59 are responsible for the operations of the program. Do you accept and understand the terms listed. *
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