Those wishing to help with purchasing gifts or donations can contact the WCCOA Programs Department at (800) 367-4935 or (419) 353-5661 or email firstname.lastname@example.org.
Those grandparents raising grandchildren needing assistance with holiday gifts can fill out the form below and return it to any senior center by December 12, 2014.
The Wood County Committee on Aging, Inc.
Holiday Outreach Project: Grandparents Raising Grandchildren
This project is intended to enable applicants to receive assistance with gifts during the 2014 holiday season to help relieve the financial burden to grandparents raising grandchildren.
· Deadline for applications is Friday, December 12, 2014 and the application must be completed to determine your eligibility.
· One application per household per individual minor (birth to 12 years of age) for consideration annually.
· Submissions must be returned to any of the seven senior centers of the Wood County Committee on
Aging, Inc. or mailed to:
Wood County Committee on Aging, Inc.
c/o Holiday Outreach Project: Grandparents Raising Grandchildren
305 N. Main St.
Bowling Green, OH 43402
If you have any questions about the application contact the Programs Department of the Wood County Committee on Aging, Inc., in Bowling Green at (419) 353.5661 or toll-free at 1(800)367.4935. You can also send an e-mail to email@example.com.
NOTE: Holiday outreach project funds raised through the Senior Centers in Wood County will be used by
WCCOA to purchase gifts for the eligible children. All gifts will be purchased and wrapped by WCCOA staff.
Selection Conditions: Applications will be reviewed based upon geographical location. Funds collected will support families in that area.
1. Applicant must be 60 years old and over.
2. Applicant must demonstrate a financial hardship.
Committee will review application criteria based on the current Federal Poverty Guidelines.
3. Applicant must be a Wood County resident.
4.Applicant must be the guardian of the grandchildren and reside in the same residence.
Application: (please print)
Monthly Household Income: (including medications/prescriptions)
Number of Grandchildren in Household:
Do you have legal guardianship? Circle Yes No
Interests (Books, Games, Characters, etc.):
Clothing (sizes and needs):
Reason for Submission/Demonstrate Need:
Submit additional comments on a separate page
STATEMENT OF ACCURACY
I affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I understand that if chosen that I will abide by the rules of the project.
FOR OFFICE USE ONLY:
ð Not Awarded
Date of applicant’s last award_
ð Yes Date
ð No Date