Wings for Success Clothing Request Form
Wings for Success is a nonprofit organization serving women in need of clothing for employment. We are not a store. Are you a woman in need of clothing or medical scrubs? Complete our online clothing request form in order to schedule a dressing appointment or pick-up at either Wings location: Exton or Kennett Square, PA. We will contact you during business hours once we receive your completed form. Your response to these questions will be kept confidential and only used for our records within our organization.

**If you live in Philadelphia County, please contact our partner Career Wardrobe for medical scrubs and other clothing needs: (215) 568-6693 or complete their clothing request form:

We wish you much success,
Staff & Volunteers of Wings for Success
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Do you need clothing immediately? *
First Name *
Last Name *
Phone Number *
Email Address
How old are you? *
Zip Code *
County *
State *
What is your gender identity? *
Race *
Have you ever been to Wings for Success? *
How did you hear about our services? *
If another organization told you about Wings, please type the organization's name here:
If your friend/coworker/family member told you, did they ever come to Wings for Success for our services?
Clear selection
Which Wings location do you prefer? *
What is your marital status? *
Do you have any dependent children? *
Do you need maternity clothing? *
Are you currently employed? *
If you are employed, what is the name of the company?
Does any of the following apply to you? Please check all that apply.
If you selected "other," please explain.
What is your personal annual income? *
What is your current level of education? *
What type of clothing do you need? *
Please explain if you marked "other."
What is your shirt size? *
Please explain if you marked "other."
What is your pant size? *
Please explain if you marked "other."
What is your shoe size? Based on our inventory, we may be able to provide you with shoes. *
What is your availability like? Please list specific days of the week and times. *
We offer appointments on Wednesdays, What time would you prefer? *
To show the impact of our services, we like to share weekly photos of our clients in outfits they receive at Wings for Success or a photo of clients picking up their clothing bags. Do you give permission to Wings for Success to take your photo and share it on our social media accounts, website, and newsletter? *
If yes, do you give permission to Wings to also use your first name, initials, or a fake name for the post? Please select one.
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If you need scrubs, does your employer require a specific color?
Clear selection
If yes, what color? Please see the color chart below for reference then type your color here ONLY if your employer requires a specific color. We are limited in colors and sizes. If your employer does not require a specific color, you can simply answer "no" to the last question. Thank you!
Scrub Color Choices: Answer the question above to tell us which color ONLY if your employer requires a specific color.
Please note any other information that will help us prepare for your appointment.
I have experienced a fever, cough or congestion within the last 24 hours *
I agree to wear a mask properly while on site, covering both nose and mouth regardless of my vaccination status *
Even with all of our safety precautions in place, I understand there is still a risk of exposure and infection to COVID-19. I waive my right to sue Wings for Success or any of its representatives. *
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