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2019 Holiday Central Application
HOLIDAY CENTRAL DISTRIBUTION DAY WILL BE SATURDAY, DECEMBER 7, 2019.
YOU MUST BE AVAILABLE TO ATTEND TO RECEIVE BENEFITS.
Food and Cleaning/Hygiene Baskets will be prepared for each qualifying household.
Applicants with children will also be eligible to apply for clothing and toys/gifts for each child.
Applications will remain open October 1- October 31. Applications will not be accepted after that date.
Only one application per household.
All applicants must live within the Mount Vernon School District.
Each Child (birth - 12th grade) must live within the household.
School-aged children attending public schools must be eligible to receive free or reduced lunches.
**Completing an application does not automatically qualify you for assistance. If you are eligible for assistance, you will receive an invitation in the mail.**
Last Name of Head of Household
First Name of Head of Household
Age of HoH
Gender of HoH
Number of People Who Live in Household
more than 10
Names, Gender, & Ages of Other ADULTS Living in Household (>18 years)
ex. Doe, John M 46; Doe, Jane F 48 (Put N/A if no other adults live within the household.)
ex. 123 Holiday Central Lane
City, State, Zip
NOTE: If your town does not appear as a choice, you will not qualify for HC. Only these addresses are within the Mt. Vernon school district.
Mount Vernon MO 65712
Stotts City MO 65756
Sarcoxie MO 64862
Freistatt MO 65654
Ash Grove MO 65604
Halltown MO 65664
Alternate Contact Person
Name & number please
Are you applying for Children's Toys and Clothing?
If yes, you will be directed to furnish your children's information next. If no, we will prepare a food and cleaning/hygiene basket designed for your household.
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