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Giving Cart application
Each child and situation is unique so each giving cart item can be too. The giving cart is designed for the purpose of providing resources to our lilies and their community of influencers which may include transportation assistance, school supplies, clothes, meal programs, class field trips, summer programs, and anything else that may help create an encouraging and stable environment to help our lilies grow.
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Email
*
Your email
Name of Applicant
*
Your answer
If you are applying on behalf of someone else, please provide his/her name
Your answer
Today's date
*
MM
/
DD
/
YYYY
Phone number
*
Your answer
Home address
Your answer
What is the your (the child's) birthday?
*
MM
/
DD
/
YYYY
Provide a brief description of your giving cart item
*
Your answer
How much do you think this item will cost
Your answer
Please tell us why you need our help
*
Your answer
Please provide your family's estimated household income
*
Less than $25,000
$25,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
More than $100,000
Do not know
How did you hear about us?
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Your answer
If there is anything you could have, what it is?
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Is there anything else you would like to share?
Your answer
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