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Christmas
GIVING
Program
of Greater Victoria
2012
The Christmas Giving Program reviews the applications from
those who are in need at Christmas, and shares these
applications among the agencies listed below and other
individuals offering help.
We work with many local social agencies to ensure that as many
people as possible receive the help they need at Christmas.
You will receive assistance this Christmas from one
agency only.
Mail or drop off your application to ONE AGENCY ONLY.
DEADLINE: December 3, 2012.
C-FAX Santas Anonymous
1420 Broad Street, Victoria, BC V8W 2B1
Providing new toys for children 17 and under, with food hampers and a food voucher for the
family. Santas assists families WITH children only.
Times Colonist Christmas Fund
2621 Douglas Street, Victoria, BC V8T 4M2
Assists individuals and families in need at Christmas.
If you are willing to share your name and story with a Times Colonist reporter please check here if we
can contact you. _______
The Salvation Army
2695 Quadra Street, Victoria, BC V8T 4E3
Providing new toys for children 12 and under, (up to 18yrs as donations allow) and food
hampers for their family. This agency serves individuals & families.
The Mustard Seed
625 Queens Avenue, Victoria, BC V8T 1L9
Providing new toys for teens & tots and Christmas Hampers including turkeys, for Families
with Children, Adult Families and Individuals
St. Vincent de Paul
828 View Street, Victoria, BC V8W 2K6
Providing toys for families with children 17 and under, with food voucher for the family.
Also assists Seniors over 60 with a food voucher.
Sidney Lions Food Bank
9586 5th Street, Sidney BC V8L 3S8
Providing food hampers for individuals and families.
SEE PAGE TWO FOR APPLICATION GUIDELINES AND APPLICATION FORM
APPLICATION GUIDELINES
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1. You will receive help from only one agency.
2. Submit one application to one agency only.
3. Your signature is required at the bottom of this application.
4. Identification will be required (and for any dependants) upon pick up.
PLEASE PRINT CLEARLY – application deadline December 3, 2012
First Name:
Last name:
Address: Apt. #
House #
Gender:
Street Name:
City:
Postal Code:
Email Address:
Phone Number:
(
)
MY REQUEST FOR HELP ALSO INCLUDES THE FOLLOWING PEOPLE WHO LIVE AT MY ADDRESS:
OTHER ADULTS (spouse, adult children 18+)
FIRST NAME
LAST NAME
GENDER
CHILDREN (17 years and younger):
FIRST NAME
LAST NAME
GENDER
AGE
A SIGNATURE BELOW IS REQUIRED FOR US TO HELP YOU.
By signing below, I confirm that all those listed above live at my address and need a helping hand.
Signature of applicant: ___________________________________ Date: ______________________
SEE REVERSE SIDE OF FORM FOR DROP-OFF LOCATIONS AND MAILING INFO
FOR
OFFICE USE
ONLY
RECEIVED:
CHECKED BY:
ENTERED:
TRANSFER TO: