Adair County Holiday Assistance Application
Adair County Holiday Assistance Application
Eligible families:
Family must live in Adair County
Meet income requirements
Have children ages 6 months to 15 years old

Important information: Please read the entire application. THIS PROGRAM IS NOT INTENDED TO PROVIDE EVERYTHING YOUR CHILD(REN) WANT. Our goal is to provide essential items such as clothing and a few wish list items that are listed.

Application must be completed by November 1st, 2021. Applications WILL NOT be accepted after this date. Application should be completed by person that has legal custody of children. Multiple applications for the same child will not be accepted.

A committee member will contact you to review application and discuss more income verification if needed. You must provide a working phone number or your application will not be processed.

You will have the opportunity to "shop" for your child at the Angel Tree shop this year. If approved, you will be contacted with gift pick-up time to come choose the gifts for your child(ren). Gift distribution will be December 10, 2021 at Trinity Family Life Center, Campbellsville Road, Columbia . You must come at your assigned time to ensure everyone is served timely while meeting COVID-19 social distancing guidelines.

If you need assistance completing this application, please contact one of the following Salvation Army members:
Debbie Cowan (270) 384-9112
Heather Dudley (270) 384-9752
Hali Anderson (270) 384-6050
Kara Iqbal (270) 384-7617
* Required

Parent/Guardian Name *
Address *
Phone Number *
List ALL household members
MONTHLY INCOME
Provide amount for each of the following income categories
Earned income amount *
KTAP, SSI, Social Security, child support amount *
Unemployment amount *
Child Tax Credit amount *
Do you receive food stamps? *
CHILD 1
Provide child's name, age, and sizes
Child 1 Name *
Child 1 Age *
Child 1 Sweatshirt size *
Child 1 Sock size *
Child 1 Underwear size *
Do you have a second child? *
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