Belmont 2022 Holiday Giving Project Referral Form
The Holiday Giving Project (HGP) of Montgomery County has provided Thanksgiving meal and December holiday assistance to families in need for over 30 years. A network of social workers, school counselors, and other human service professionals refer families and individuals in need of assistance. Local non-profits, faith-based organizations, service organizations and other government agencies serve Holiday Giving recipients, as donations are available.

If you and your family are in need and would like to be referred to possibly receive assistance for the holiday season, please complete the following referral form. The information is required to make a referral to The Holiday Giving Project. To be referred for assistance, you must complete this form by WEDNESDAY, OCTOBER 28, 2020 to be considered for the Thanksgiving services. Resources are limited, please apply only if you and your family are truly in need.

While a referral is not a guarantee of assistance, the Project helps as many families in need as donations allow.
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Responsible Adult: Last Name *
Responsible Adult: First Name *
Email: *
Primary Phone Number: *
Primary Language: *
Last name of other adults in family household:
Does another family live at this address? *
Number of adults (18 and older) in family home: *
Please list any dietary restrictions:
Home Address: *
Request for Thanksgiving Assistance: *
Request for December Assistance: *
Are you in need of any other services?  You may be contacted by or connected to other programs. This may include the mailing of information to you rhome.  Checking the box does not guarantee services.
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