2012 Christmas Assistance Program

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Greetings,

It’s that time of the year again! The Georgia National Guard Family Program is offering Christmas Assistance to those in need of a little extra help. Our goal is to help supplement families with gifts for your children ages 0-15. You must have a qualifying need and the children must be your biological children or under your legal guardianship. Please understand that this program is made possible through the generosity of the community.

Are you eligible?
• You must be a member of the Georgia National Guard.
• You must need assistance with providing gifts to your child or children under age 15.

Guidelines:
• Please complete ALL fields of the attached application and have your 1SGT, CSM, CMSgt or Commander sign off on it and send it back to me as soon as possible, but no later than November 12, 2012.
• If you are submitting an application on someone else’s behalf, you must accurately fill out all fields of the application.
• Please email/or fax application to: kim.garrett2@ng.army.mil /770-995-6883
• THE DEADLINE FOR APPLICATIONS IS November 12, 2012. APPLICATIONS RECEIVED AFTER THIS DATE WILL NOT BE ACCEPTED.

You will be notified upon receipt of your application. If assistance is approved, you will receive confirmation and specific pickup location and date in December. If you have any questions or concerns please contact me directly.

Kimberley Garrett
Family Assistance Center Manager
261 East Crogan Street
Lawrenceville,GA 30046
Offce # 678-656-6466
Verizon BB# 678-656-4392
kim.garrett2@ng.army.mil

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2012 Christmas Assistance Program

  1. 1. Greetings, It’s that time of the year again! The Georgia National Guard Family Program is offeringChristmas Assistance to those in need of a little extra help. Our goal is to help supplementfamilies with gifts for your children ages 0-15. You must have a qualifying need and thechildren must be your biological children or under your legal guardianship. Please understandthat this program is made possible through the generosity of the community.Are you eligible? • You must be a member of the Georgia National Guard. • You must need assistance with providing gifts to your child or children under age 15.Guidelines: • Please complete ALL fields of the attached application and have your 1SGT, CSM, CMSgt or Commander sign off on it and send it back to me as soon as possible, but no later than November 12, 2012. • If you are submitting an application on someone else’s behalf, you must accurately fill out all fields of the application. • Please email/or fax application to: kim.garrett2@ng.army.mil /770-995-6883 • THE DEADLINE FOR APPLICATIONS IS November 12, 2012. APPLICATIONS RECEIVED AFTER THIS DATE WILL NOT BE ACCEPTED.You will be notified upon receipt of your application. If assistance is approved, you will receiveconfirmation and specific pickup location and date in December. If you have any questions orconcerns please contact me directly.Kimberley GarrettFamily Assistance Center Manager261 East Crogan StreetLawrenceville,GA 30046Offce # 678-656-6466Verizon BB# 678-656-4392kim.garrett2@ng.army.mil
  2. 2. APPLICATION*NAME OFAPPLICANT__________________________________________________________________________ ____________________ LAST FIRST MI RANKADDRESS __________________________________________________________________________________________________ STREET APT CITY ZIP COUNTYTELEPHONE # ______________________________ ALTERNATE PHONE # _________________________________E-MAIL ADDRESS _________________________________________________________________________________________UNIT __________________ DEPLOYED: YES NO (PLEASE CIRCLE ONE)WE/I NEED HELP PROVIDING FOR MY CHILDREN DURING THE HOLIDAYS BECAUSE:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ LIST CHILDREN 15 AND UNDER SUGGESTED LAST NAME FIRST NAME AGE CLOTHES SIZE M/F RELATIONSHIP TOY OR SPECIAL TO SOLDIER/ INTEREST AIRMANDISCLAIMER: We rely on 3rd parties to contribute to The Christmas Assistance Program. The GA National Guard is not responsible oraccountable for the actions of 3rd parties (non-Guard) and/or their affiliates. Please initial by the appropriate response to the release of yourinformation being given to a 3rd party, who are typically donors that have contacted our organization and want to help sponsor families during theholidays: Allow 3rd party to receive your information? (Initial one) YES______ NO_______Your answer does NOT effect your application for assistance. You will be contacted by our staff regardless of your response.Please sign your full name that you understand and agree to these terms.Signature: _____________________________________________________________________ Date __________________ UNIT VALIDATION FOR CHRISTMAS ASSISTANCE PROGRAMAs the proper Chain of Command (1SG, CSM, CMSgt, or Commander) FOR UNIT:____________________________________I have reviewed this application and request assistance for this family:
  3. 3. CHAIN OF COMMAND PRINTED NAME: ______________________________________________TITLE:__________________________CHAIN OF COMMAND VERIFICATION SIGNATURE: _________________________________________ DATE: __________________CONTACT INFO: WORK #_____________; CELL#____________; OTHER #______________EMAIL: __________________________

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