Gift Application and Children Wish List

Holiday Giving Recipient Application 2021

  1. Department of Social Services Holiday Giving, Town of North Kingstown, Telephone: (401) 268-1579
    Confidential Family Information
  2. This form will be available online through Wednesday, November 17, 2021.
  3. To qualify for the Holiday Giving Program, you must be a resident of North Kingstown and have a child 13 or under residing in North Kingstown. We require proof of residence (a rent receipt, bank statement, something from your child's school or recent bill mailed to your address), proof of income (SNAP award letter, housing/lease agreement or 2020 tax return), birth certificate for each child on the list and a photo ID. Application can not be completed without proper documentation and an appointment. You will be contacted within 72 hours of submitting an online application to schedule an appointment.

  4. What is the best way to contact you?*
  5. Please specify the best day and time to contact you. *
  6. Have you applied to ANY OTHER organization, church, school or agency for assistance with the December Holidays?*
  7. I understand that this application does not guarantee acceptance into this program.*
  8. I realize that members of the community donate all the gift cards for the holiday giving program and I agree not to hold North Kingstown Senior Services responsible for the number of items I receive.*
  9. I realize that providing false information will disqualify me from the holiday giving program.*
  10. I give permission to discuss my case with whomever necessary (this permission is granted for (3) three months from the date of this application).*
  11. By submitting this application I agree to all the terms contained in this application.*
  12. Leave This Blank:

  13. This field is not part of the form submission.