Fainbarg Chase Thrive Center Diaper Program Sign-Up  
Hi SAC Students! 

Thank you for showing interest in our Diaper Program! 

ABOUT THE FAINBARG CHASE THRIVE CENTER
The Fainbarg Chase Thrive Center's goal is to ensure that every student is equipped with the basic necessities required to reach their full potential. We firmly believe that access to basic needs is a fundamental right, and we are committed to making this a reality for all students. By providing access to resources such as food, housing, clothing, and financial support, we strive to create a supportive and inclusive environment where every student can flourish. ​

Are you SAC parent with a baby or toddler? The Diaper Program is here to support you! 

ABOUT THE DIAPER PROGRAM
The Fainbarg Chase Thrive Center Diaper program provides 75 diapers monthly to currently enrolled Santa Ana College students. Students can choose from the following diaper sizes for their child:
  • 0 
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 2T-3T (Medium)
  • 3T-4T (Large)
  • 4T-5T (XLarge)
Eligibility Requirements:
  • Be a currently enrolled Santa Ana College student
Diaper Program Procedure:
  1. Please complete this sign-up form 
  2. Once submitted, a Thrive Center Staff member will contact you via email to confirm your confirmation in the Diaper program towards the end of the month 
  3. Diaper pick-ups are monthly, usually the last 2 weeks of each month. We will send you an email each month when pick-ups are ready, so please check your emails                                                                        *Please be mindful that last diaper pick-up for the Fall will be in November
CONTACT US
If you have any concerns or questions, please let us know. We are here to help! 
  • Phone: (714) 564-6458
  • Email: thrivecenter@sac.edu
Sign in to Google to save your progress. Learn more
Email *
First Name (Primer nombre) *
Last Name (Apellido) *
SAC Student ID # (Número de identificación del estudiante SAC) *
Phone Number (Número de teléfono)  *
Are you a parent of a baby or toddler that is in need of diapers? (¿Eres madre o padre de un bebé o niño pequeño que necesita pañales?) *
Do you currently receive services from the SAC Child Development Center? (¿Actualmente recibres servicios de Centro de Desarrollo Infantil de SAC?) *
How many children (babies and/or toddlers) do you have? (¿Cuantos bebés o niño pequeño tienes?) *
What are the ages of your babies and/or toddlers? (¿Qué edad tiene su bebé o niño pequeño?) *
Ex. If you have a three year-old and a one year-old, please write: 3, 1 (Si tiene un niño de tres años y otro de un año, escriba: 3, 1)
What diaper sizes do you need? (¿Qué talla de pañales  necesitas?) *
We have sizes 0 - 6, 2T-3T (Medium), 3T-4T (Large), 4T-5T (XLarge). [Tenemos tallas 0 - 6, 2T-3T (Mediana), 3T-4T (Grande), 4T-5T (XGrande)]
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms