Christmas Caring Application - Fayette Cares

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About Us
- Mission
- History
- Team
- Financials
- Careers
- FAQ
- Our Supporters
- Contact Us
Our Programs
Get Involved
Events
Newsroom

Christmas Caring Angel Tree Application

2023 applications are closed. If you have are facing a financial crisis and need assistance, please call (901) 465-3802 x 224 or email casemanager@fayettecares.org.

Fill out one form per household (physical address). Please list everyone in the household.
Applicant Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Race
Hispanic or Latino
- Yes
- No
Total Monthly Income In Household*
Families First $
SSI $
Supplemental Security Income
SSDI $
Social Security Disability Income (Benefits)
Child Support $
Other Income $
# of Adults*
# of Children (under 18)*
Tell us the number of kids in your home. If you have children 12 and under, you'll complete a wish list below.
Total # in Household*
Do not include food stamps as income
Names and Monthly Income Information for Everyone in Household
People listed should match food stamp letter. Do not include food stamps as income
#1 Household Member Name
First Last
Relationship to Applicant
Sex/Gender Identity
Date of Birth
Month
Day
Year
Social Security Number
Race
Hispanic or Latino
- Yes
- No
Families First $
SSI $
SSDI $
Child Support $
Other Income $
#2 Household Member Name
First Last
Relationship to Applicant
Sex/Gender Identity
Date of Birth
Month
Day
Year
Race
Hispanic or Latino
- Yes
- No
Families First $
SSI $
SSDI $
Child Support $
Other Income $
#3 Household Member Name
First Last
Relationship to Applicant
Sex/Gender Identity
Date of Birth
Month
Day
Year
Race
Hispanic or Latino
- Yes
- No
Families First $
SSI $
SSDI $
Child Support $
Other Income $
#4 Household Member Name
First Last
Relationship to Applicant
Sex/Gender Identity
Date of Birth
Month
Day
Year
Social Security Number
Race
Hispanic or Latino
- Yes
- No
Families First $
SSI $
SSDI $
Child Support $
Other Income $
#5 Household Member Name
First Last
Relationship to Applicant
Sex/Gender Identity
Date of Birth
Month
Day
Year
Social Security Number
Race
Hispanic or Latino
- Yes
- No
Families First $
SSI $
SSDI $
Child Support $
Other Income $
Proof of Residence*
Max. file size: 32 MB.

Mail dated within 30 days including utility, phone, or internet bill.
Proof of Income*
Max. file size: 32 MB.

Check stub, SSI, SSDI, child support, SNAP benefit letter.
Wish List for Gifts (children 12 and under)
Typical gift donations range from $10-$50. Submitting this form does not guarantee gifts.
#1 Child's Name
First Last
Internal Code (Fayette Cares use only)
Sex/Gender Identity
Age*
Shoe Size
Shirt Size
Pant Size
Favorite Color
Bicycle
Marking Yes does not guarantee a bicycle will be donated/provided.
- Yes
- No
Height in Inches (for bike only)
Interests*
List gifts they might enjoy
#2 Child's Name
First Last
Internal Code (Fayette Cares use only)
Sex/Gender Identity
Age
Shoe Size
Shirt Size
Pant Size
Favorite Color
Bicycle
Marking Yes does not guarantee a bicycle will be donated/provided.
- Yes
- No
Height in Inches (for bike only)
Interests
List gifts they might enjoy
#3 Child's Name
First Last
Internal Code (Fayette Cares use only)
Sex/Gender Identity
Age
Shoe Size
Shirt Size
Pant Size
Favorite Color
Bicycle
Marking Yes does not guarantee a bicycle will be donated/provided.
- Yes
- No
Height in Inches (for bike only)
Interests
List gifts they might enjoy
#4 Child's Name
First Last
Internal Code (Fayette Cares use only)
Sex/Gender Identity
Age
Shoe Size
Shirt Size
Pant Size
Favorite Color
Bicycle
Marking Yes does not guarantee a bicycle will be donated/provided.
- Yes
- No
Height in Inches (for bike only)
Interests
List gifts they might enjoy
#5 Child's Name
First Last
Internal Code (Fayette Cares use only)
Sex/Gender Identity
Age
Shoe Size
Shirt Size
Pant Size
Favorite Color
Bicycle
Marking Yes does not guarantee a bicycle will be donated/provided.
- Yes
- No
Height in Inches (for bike only)
Interests
List gifts they might enjoy
#6 Child's Name
First Last
Internal Code (Fayette Cares use only)
Sex/Gender Identity
Age
Shoe Size
Shirt Size
Pant Size
Favorite Color
Bicycle
Marking Yes does not guarantee a bicycle will be donated/provided.
- Yes
- No
Height in Inches (for bike only)
Interests
List gifts they might enjoy
Verification and Permission*
I verify that this information is correct to the best of my knowledge. I give permission to Fayette Cares to contact the Department of Human Service or other agencies to verify information on this application.
Application with Fayette Cares does not guarantee that you will receive food or toys through the Christmas Caring program. Fayette Cares does not discriminate against any person because of race, color, sexual orientation, gender identity, family identification, familial status or national origin. The information collected is for Fayette Cares use only, and will be used to gather statistical data, to better serve the community with social services.
Date*
Month
Day
Year

About Us
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Get Involved
Events
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Privacy Policy and Refund Policy
Contact Us

About Us
Our Programs
Get Involved
Events
Newsroom
Privacy Policy and Refund Policy
Contact Us

13300 N. Main St.
PO Box 326
Somerville, TN
901-465-3802

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