Sponsor From

Would you like to remain anonymous?

* I acknowledge that applying for the program does not guarantee a match.

Please note: Sponsors must coordinate the delivery of gifts via mail or in-person to their
matched family(ies). Sponsors cannot drop off at the DPSS office. Anonymous sponsors are
encouraged to ship items to their family(ies).

Information provided will not be shared with participants.

Please select a sponsor type Value Required

Name

Middle Initial

Last Name

County Employee

Department Value Required

Bureau

Division

Office/Section Value Required

Address Line 1 Value Required

Address Line 2

City

State

Zip Code

Contact First Name

Contact Last Name

Primary Phone No

Email

Secondary Contact First Name

Secondary Contact Last Name

Secondary Phone No

Secondary Contact Email

How did you hear about the Program?

Would like to sponsor a family that resides in:
(indicate desired geographic location) Value Required

Click button to see map locations:

Map Locations

How many families would you like to sponsor?
(Specify total number of families to be sponsored) Value Required

Please indicate the household size
(including parents and/or guardians) Value Required

* Please select the language(s) you prefer the family to speak. Value Required

Comments

SPONSOR INFORMATION