Holiday Outreach Project

Grandparents Raising Grandchildren

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 programs@wccoa.net.
 

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 programs@wccoa.net.

 

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.

 

Criteria:

 

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)

 

Name:                                                                                       

Phone Number:                                                         

 

Address:                                                                                                            
 

Monthly Household Income: (including medications/prescriptions)                                                        

 

Number of Grandchildren in Household:                            

 

Names and Ages of Grandchildren:                                                                                                                         

 

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.

 

 

 

Applicant Signature:                                                                                                               

 

Date:                                                                

 

 

 

FOR OFFICE USE ONLY:

 

Submission Date:                                                                     

 

Review Date:                                                                             

 

Status

ð    Awarded

ð    Not Awarded

Date of applicant’s last award_                  

Person contacted:

ð    Yes         Date

ð    No           Date