Request to Become a Recipient Agency
This is step one in the process to become a Family Giving Tree Recipient Agency. Please complete the following and we will let you know within 7-10 days if we can support your request.
Contact First and Last Name
Contact Phone Number
Contact Email Address
Agency Physical Address
Do you have a 501c(3) or non profit status?
If yes, please scan and email it to:
No - Please specify below
If no, are you a:
Police or Fire Department?
Federal or State Government Agency?
In which Drive would you like to participate?
Holiday Wish Drive
Domestic Violence Services
Early Childhood Development
Other - specify below
Other - please specify
How many clients does your agency serve?
What is the age range of your clients?
Never submit passwords through Google Forms.
This form was created inside of Familygivingtree.org.
Terms of Service