WHAT DO YOU NEED to do ?
Please note: Please send all of these documents along with your application in order to get your ticket for the 25 Annual Christmas/Holiday giveaway this is on December 17th before November 28th at 11:45 pm NO EXCEPTION , If your application is no in by the time and time you will not be able to get assisting. After we have received your application and all of your documents we will send you your ticket. We only will be accepting families that has children's age newborn to 13 year of age, and no more then 5 children per family.
ID
PROOF OF CHILD OR CHILDREN HEALTH RECORD OR SCHOOL RECORD
CURRENT INCOME FOR LAST 30 DAYS
CURRENT UTLITY FOR THE LAST 30 DAYS
IF YOU DO NOT HAVE NO INCOME PLEASE FILL OUT THE FORM BELOW
THANK-YOU
614 Youth Prevention Agency
Zero Income Declaration Form 2021
Date: ______________________________
ONLY IF YOU DON'T HVE ANY INCOME PLEASE FILL THIS SECTION.
I, the undersigned_____________________ (Name) ___________________________ (Surname) born
in _____________________ on _____________________________ and resident in
________________________________________________________________________________
address _________________________________________________________________________ city
_______________________________ country ______________________________________ declare
that my family income is as follows:
Total Household:
Members: ________________________________
Total Household Income per year (gross amount) _________________
It is my own responsibility in case of mendacious declaration and aware that, in case the provided information was found to be false, the awarded benefit and services will be revoked DECLARE THAT all information on my family income here attached are complete and totally true, being aware that 614 Youth Prevention Agency the right to verify the truthfulness of information provided.
Date _______________ Signature ____________________________
In order to submit this application by due date listed above, you must click on the document, in left hand corner is a box with arrow, click on the arrow, it will being you to the application, you must print it off, fill it out and send it back to us by via email, once we have received your application, we will email you a invitation to our 26th Christmas giveaway, there is no phones nor email of you application we will start our application in September 2022. We are close for this year taking application.
Thank you and Happy holiday to you and your family.
2022 CHRISTMAS APPLICATION
NEW 2022 CHRISTMAS Application.docx