The Calhoun County Achievement Foundation is teaming up with WHMA The Big 95 to help provide Christmas assistance to families in the area. 


Print out this application or copy it into a document and send it in to be considered for help.  Our committee will look at the applications carefully and help as many families as possible with a $100 AOD Federal Credit Union American Express gift card.


This application can be filled out by a member of the family in need of assistance or by a friend who wants to help.  Please provide as much information as you can but even if you are unable to answer all of the questions your application will be considered. 


Is this application for your family or someone else?


 

Who is the assistance for?  Please list all members of the household…

 

 

What are the ages of the children in the home?


 

 

Has this family applied for assistance from any other organization this Christmas.  If so, please list them…


 

 

Describe the reason you believe this family is in need of assistance this Christmas…


 

 

 

 

 

The following items are required for all applicants…

 

A phone number where you (the person filling out the application) can be contacted

 

Home address of the family the assistance would go to

 

An estimate of the annual household income for 2008 

 

 

The following items are not required but may be helpful in determining if the applicant will receive assistance.  Provide as many as you can…

 

Copy of Photo ID

Birth certificate

Proof of income

-         food stamps

-         child support

-         social security

-         unemployment

-         pay stub

-         pensions

-         disability

 

 

Proof of expenses

-         rent 

-         utility bills

-         child care 

-         car payments 

-         loans 

-         credit card 

-         insurance .

-         medical bills 

-         other bills  gas, groceries, school fees, etc...

 

Applications can be emailed to:  Christmas@ccafkids.com

 

Applications can be mailed to:

Christmas Assistance

CCAF

1012 Noble Street

Anniston, AL 36201