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 Thanksgiving or Winter 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 Monday, OCTOBER 24, 2022 to be considered for the Thanksgiving services. Applications for the Winter Holiday may be made at the same time.  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.

Email *
Please understand that referrals are not guaranteed. The local agency assigned to our area will confirm your referral. You will likely be contacted by an outside agency to confirm your referral, by phone, email, or mail. It is extremely important that you check all mail and messages as only 1 notification message may be sent. Donations may require you to travel to pick up the donations. Pick up may have limited days/hours. You may be allowed to designate another adult to pick up you donation. The agency providing donations can clarify this for you. Please type your name below to indicate agreement. *
I request that my family be referred for assistance from the Holiday Assistance Program. I understand that my information will be entered into the Holiday Assistance Program database and shared with partner organizations and authorized Holiday Assistance Program volunteers, including possibly for the delivery of assistance to my home and for communication by phone, email or text message. I also understand that I have the responsibility to inform the person making this referral if my family's situation changes, such as my home. I have not been referred for the Holiday Assistance Program by any other organization. *
Responsible Adult Last Name *
Responsible Adult First Name *
Best phone number to contact you. *
Best phone number to contact you is a (check all that apply) *
Required
Primary Home Language *
Required
Last name of other adults in family household: *
FULL Home Address (please include apartment number and zip code)(for example- 123 Voyager Way, Apt 123, Rockville, MD 20850) *
Does another family live at this address? *
Number of adults (18 and older) in family home: *
Number of children (17 and younger) in family home: *
Please select Grades of Virtual Academy Students *
Required
Please list any dietary restrictions:
Request for Thanksgiving Assistance: * Note this request must be received by 10/24/22 to be submitted for an on-time referral for assistance.  Requests received after this date are considered late.
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Request for December Winter Holiday Assistance: * Note this request must be received by 11/14/22 to be submitted for an on-time referral.  Requests received after this date are considered late.
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