Winter Drive Support Request Form

WINTER DRIVE SUPPORT REQUEST FORM

Community Members are required to use this form to complete the request for essential winter supplies to be completed using the downloadable Winter_Drive_Intake_Form and emailing it back to womenthatgive@gmail.com

Or completing the Online request form.  Please complete the information below so our team can assess needs and coordinate support based on available donations.

Client / Household Information

Complete this information

Household Members Requiring Winter Items

List each person requesting clothing or other winter essentials. Include sizes where applicable.

Requested Winter Essentials

WINTER DRIVE SUPPORT REQUEST FORM

Priority Needs and Additional Information Which three requested items are most urgently needed?

Pickup and Communication Details

Support is based on family need and available donations. Submitting this form does not guarantee assistance. Families will be contacted if items are available. Please inform Women That Give if your circumstances or requested sizes change.
Clear Signature
Consent I confirm that the information provided is accurate. I consent to Women That Give using this information to assess my request and contact me about this campaign. I understand that completing this form does not guarantee assistance