Chanukah Gift Drive Family Application

If your family is facing economic struggles or other extenuating circumstances this holiday season, we’d love to support you with Chanukah gifts for your children! Please fill out the request form below after reviewing the eligibility criteria. To be eligible to receive presents from JFS this Chanukah, your family must:

  • Have a connection to the Jewish community.

  • Face economic struggles or other extenuating circumstances

  • Must have children ages 18 years and under living in the home.

Please complete the form below to request your family’s participation in this year’s Chanukah gift drive. A JFS social worker will contact you soon to confirm eligibility. Referrals must be received no later than 11/1 in order to participate.

Name *
Name
Address *
Address
Phone *
Phone
Congregation Affiliation (if any) *
Is anyone in the home employed? *
Please briefly explain your family's current needs, extenuating circumstances, financial needs, etc.
If you are filling this form on behalf of someone else, please check the box below to acknowledge that you have spoken to the family you are referring
Name of person referring (if applicable)
Name of person referring (if applicable)
Phone number of person referring (if applicable)
Phone number of person referring (if applicable)