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HOW WE HELP CHILDREN
Children's Needs
Children’s Needs Request
Jessica Stanfield
2022-06-06T12:11:31-04:00
Children’s Needs Request Form
ONLY certified GAL Volunteer Advocates may complete this request form.
Fill out this form with your needs for your child or children
GUARDIAN AD LITEM VOLUNTEER'S NAME
(Required)
First
Last
GUARDIAN AD LITEM VOLUNTEER'S EMAIL ADDRESS
(Required)
GUARDIAN AD LITEM VOLUNTEER'S PHONE NUMBER
(Required)
GUARDIAN AD LITEM VOLUNTEER'S ADDRESS
Street Address
City
State
ZIP / Postal Code
COUNTY
-
Lee County
Collier County
Charlotte County
Hendry County
Glades County
COUNTY W/LEGAL JURISDICTION FOR CHILD
-
Lee County
Collier County
Charlotte County
Hendry County
Glades County
CHILD'S NAME
First
Last
CHILD'S DATE OF BIRTH
MM slash DD slash YYYY
CHILD'S GENDER
Male
Female
CAREGIVER'S NAME
First
Last
CAREGIVER'S EMAIL ADDRESS
(Required)
CAREGIVER'S ADDRESS
Street Address
City
State
ZIP / Postal Code
CAREGIVER TYPE
-
Foster Home
Relative Caregiver
Non-Relative Caregiver
Shelter
DATE CHILD WAS PLACED IN THE HOME
MM slash DD slash YYYY
CAREGIVER'S PHONE NUMBER
(Required)
SPECIFY REQUEST
(Required)
-
BED
CLOTHING
HAPPIER BIRTHDAY
CAMP
DANCE, ART, GYMNASTICS, MUSIC LESSONS
SPORTS PARTICIPATION
CLUB PARTICIPATION
TUTORING
OTHER
BED TYPE (SELECT ONE)
-
Bassinet
Crib
Toddler Bed
Twin Bed
Other
OTHER – DESCRIBE IN NATURE OF THIS REQUEST BOX BELOW
DELIVERY ADDRESS
Street Address
City
State
ZIP / Postal Code
GIFT CARD AMOUNT
-
Ages 0-6 | $50-$100
Ages 7-11 | $100-$200
Ages 12-18 | $100-$300
STORE
-
Walmart
Target
Old Navy
GIFT CARD AMOUNT
-
Ages 0-6 | $25
Ages 7-18 | $50
STORE
-
Walmart
Target
WOULD YOU LIKE A PHYSICAL OR DIGITAL GIFT CARD?
-
Physical Gift Card (to be mailed)
Digital E-Gift Card (to be e-mailed)
PLEASE EXPLAIN OTHER REQUEST
DESCRIBE THE NATURE OF THIS REQUEST
CHILD ADVOCATE MANAGER
(Required)
-
Christina Hoskins
Kara Rhoden
Monce Smittle
Esteban Millan
Lara Becraft
Danuta Richey
Pamela Mozley
Marianne Lentini
Patricia Hoppa
Dana Steele
Suleyma Santizo
Alicia Gerber
Amanda Marquez
Lia Denison
Catherine Dotson
John Gervickas
Katherine Doule
Madelyn Schock
Pamela Fox
Stephanie Burns
Tracy Damon
Robert Lefever
Chyna Bergevin
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