Hope United | Ada Regional United Way

Hope United

Did you and/or your family members receive assistance from Hope United last year?

Yes

Are you or your children a CDIB holder?

Yes

What Tribe?

Chickasaw

Seminole

Choctaw

Creek

Cherokee

Other

Does your tribe have a holiday gift giving program that you quality for?

Yes, my tribe has a holiday program that I DO QUALIFY for

Yes, my tribe has a holiday program that I do NOT QUALIFY for

No, my tribe does not have a holiday program

I do not know, I have not checked with my tribe

Please contact your tribe and find out if they have a holiday gift program which you qualify. Only if they do not have a gift program or if you do not qualify for their gift program can you apply to Hope United.

Thank you for your interest in Hope United. You do not qualify for this program and must receive your gift assistance from your tribe's program.

Does the Child or Children reside with you at least 50% of the time?

Yes

Thank you for your interest in Hope United. You do not qualify to receive assistance through our program. You can call 580-332-2313 with any questions.

I understand that completing this application does not guarantee the receipt of any gifts, the quality or quantity of gifts as they are dependent upon the donation from others. I hereby give permission to release this information to another party (group or individual)for assistance in verifying my eligibility.

Head of Household

Applicant Relationship to the Child or Children

Parent

Guardian

Upload Legal Guardian Documentation

Upload requirements

Applicant First Name

Applicant Last Name

Gender

Female

Male

Race

Significant Other First Name

Significant Other Last Name

Gender

Female

Male

Race

Street Address

City

State

Postal Code

Phone

Email Address

Total Number of Children that Live in Your Home

Children

Child Size Key:

Toddler clothing: 2T-5T
Kid clothing: 4-7
Youth clothing: 8-18
Junior (female): 0-19

Child #1

Child #1 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

Child #2

Child #2 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

Child #3

Child #3 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

Child #4

Child #4 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

Child #5

Child #5 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

Child #6

Child #6 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

Child #7

Child #7 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

Child #8

Child #8 Full Name

Gender

Female

Male

Race

Date of Birth

Age

Clothing Type

Pant Preference

Shoe Type

Toddler Coat Size

Toddler Shirt Size

Toddler Pant Size

Child Coat Size

Child Shirt Size

Child Pant Size

Infant Coat Size

Infant Shirt Size

Infant Pant Size

Womens Coat Size

Womens Shirt Size

Womens Pant Size

Juniors Coat Size

Juniors Shirt Size

Junior Pant Size

Mens Coat Size

Mens Shirt Size

Mens Pant Size

Infant Shoe Size

Toddler Shoe Size

Little Kid

Bid Kid

Women's Shoe Size

Men's Shoe Size

Gift Choice 1

Gift Choice 2

Gift Choice 3

File Uploads

Upload income verification for all family members residing in the home (paystubs, tax doc, child support, current TANF, SNAP or WIC award letter, SSI/SSDI etc)

Upload requirements

Upload proof of residency with current address (utility bill, rental agreement, etc).

Upload requirements

By signing you are acknowledging that the information provided is true and correct to the best of your knowledge.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.