ALL SECTIONS MUST BE COMPLETED and submitted with ALL Verifications.

Section 1:

VERIFICATIONS REQUIRED: Your Photo I.D., Proof of All Household Income, Proof of Address, each Child’s Birth Certificate and School Record indicating the Child’s Residence. All Children up through high school are eligible.
 

YOU MAY NOT APPLY TO MORE THAN ONE AGENCY.  Agencies cross-reference all applications. Appearing on more than one (1) list will result in Permanent Suspension from all Plymouth Area Coalition Programs.

Required verifications can be emailed, or mailed to the Children's Holiday Fund:

Plymouth Area Coalition
149 Bishops Highway
Kingston, MA 02364

info@plymouthareacoalition.org

    SECTION #2

    SECTION #3

    Have you received assistance from CHF in the past?
    YesNo

    SECTION #4

    SECTION #5

    Income Sources
    TAFDCSNAPChild SupportHousing AssistanceSSDI – Employment

    SECTION #6

    Additional Children can be added at the bottom.





    Male/Female
    MaleFemale

    Other wishes/likes
    TrucksCarsDollsBarbieSportsGamesOutdoorsWinter wearClothingShoesBoots

    Click + to add more children

     

    SECTION #7

    If your child chooses a doll or figure, what color skin?
    No PreferenceDarkLight