Holiday Assistance Needs Assessment: *Goshen Residents Only*
Each year, the towns of Warren, Morris, and Goshen work with Region 6 Schools, area social service agencies, and private donors to assist local families in need of essentials such as food, clothing, and goods to prepare for the winter holidays.

For those families who may be benefit from this program, we have put together a needs assessment covering the months of November and December, and use this information to create our assistance packages.

Those interested in participating in this program must fill out and submit the assessment below by NO LATER THAN NOVEMBER 9TH, after which date we will not be accepting applications outside of extreme circumstance. All forms will be managed by a town hall holiday program coordinator and information gathered from this assessment is kept strictly confidential. By completing this online form, you consent for this information to be confidentially utilized by the town hall rep to create your package.

Once all assessments are collected, the town hall rep may reach out to you for further questions/clarification on needs, and coordinate your package pickup date which will occur at your respective town hall.

For clarification, this program is designed to help support families based on available resources, not cover your holiday expenses completely. Therefore, we can not guarantee what or how much will be in each package, though we will try our best to equitably serve each family participating and your town hall coordinator will reach out to you for more specifics and pickup date.

This drive is open to the towns of Warren, Morris, and Goshen ONLY. Those from out of town must contact their town hall to see what programs are available in your area.

If you have any questions regarding this program, confidentiality, or anything else, please do not hesitate to contact your town hall holiday assistance coordinator.
Contact information:
Morris - Laurel Gillotti (860) 567-7430
Goshen - Colleen Kinkade (860) 491-2249
Warren - Missy Woodward (860) 868-7881

Please fill out the needs assessment below
Are you and your family residents of Goshen? *
Demographics of Family (family size, gender/age[s] of children in the home) *
Is your family in need of a food package for Thanksgiving? *
If the above answer is yes, please indicate if there are any food limitations or allergies
Is your family in need of a food package for any of the December holidays? *
If the above answer is yes, please indicate if there are any food limitations or allergies
If clothing is needed, please indicate for whom the clothing need is for, including sizes, and style preference
Please provide the interests of each child (types of toys, books, favorite stores for gift cards, etc.) *
Are there any other specifics you would like to include that have not been addressed above?
Please provide your first and last name and the best phone number or email for a town rep to reach you if we have further questions and to coordinate package delivery/pickup. *
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