Apply for Services

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×The information provided may be shared with partner organizations for the purpose of processing this application, including Edmonton Food Bank and the Salvation Army.

To be eligible to receive support from Christmas Services applications must:

Live within the City of Edmonton
Your address (including proof)
Primary phone number
Names of each household members (we request the gender, birth dates, and supporting documentation for each resident
Source(s) of income for all household members over the age of 18 (documentation to prove your present source(s) of income

Please fill out the form to the best of your ability. If you require help, please contact us.

In addition to your application for for a holiday meal or gift cards, to apply for toys for children 12 and under, please contact the 880 CHED Santas Anonymous.

Application information

Primary Contact

Enter the name, gender and birth date for the primary resident of the household.

First Name

Last Name

Gender

Female

Male

Other

Birth Date

Note: Future dates will not be accepted.

Type of Document

Supporting Document

Please provide proof of occupancy.
One file only.
10 MB limit.
Allowed types: pdf, jpg, jpeg, gif, png.

Phone Information

Primary Phone Number

The primary number we can use to contact you.

Cell Phone Number

Add a second phone number that we can use to reach you if you have one. Please re-enter this number if it's the same as your Primary Phone number.

Email information

Main Email address

Enter the primary email address we can use to contact you.

Delivery Information

Delivery address

Street Address

City

Apartment / Unit #

Apartment/Unit Buzzer #

Please provide a buzzer number if there is an apartment unit, otherwise please leave it blank. (This field is required if a unit is provided.)

Postal Code

Province

Country

Delivery instructions

Provide details needed for delivery.

My mailing address is different from my delivery address

Select to enter a mailing address if it is different from the delivery address.

Mailing address

Street Address

City

Apartment / Unit #

Supplemental address information

Add supplemental information such as Buzzer or Delivery Instructions.

Postal Code

Province

Country

Household Information

The name and contact details for your household. The household is all residents living in the same residence.

Household Name

The household name is set to be the full name of the primary resident. It will be updated automatically if the primary resident name is updated.

Household size

Please include the number of people living in your household throughout the year. Note: If you have family or friends visiting during the holidays you do not need to include them in your total.

Other Household Residents

Aside from the application, please add all residents in the household if there are any.

Provide the name, gender and birth date for each resident
If a baby is expected to be born by December 31 of the current year, please add the child as a resident and the expected due date.
Any existing residents removed from this list will be removed from your household completely.

Residents

No residents entered. Please click Add below to provide residents.

Household Income

Gross Monthly Income per Adult

Please include all sources of income for all adult residents, including income from employment and any government benefits (Ex. Canada Child Benefit, AISH, EI, and WCB).

All adult residents over the age of 17 must be recorded, even if their income is zero.
If an adult has multiple income sources then enter each income source on a separate line (with the resident's name each time)
Gross income is all the money you earn before taxes and other deductions are subtracted

Click `add` for each source of income

Monthly Income
Resident name Name of the resident who receives the income. Income ($) Monthly income in dollars. Select Income source Source of income for the resident. Supporting Income Document Please upload a document to verify this source of income. One file only. 10 MB limit. Allowed types: pdf, jpg, jpeg, gif, png.

Requested Support

Your preference(s)

Check all that apply.

Food

Gift card for youth 13-17 years

Food preference

Choose how you prefer to receive the food gift. The hamper cannot be customized so if you have specific needs or requests please choose the gift certificate option.

Hamper

Gift certificate

Electronic Gift card

Sorry, there are no more Hampers available please choose a Gift card instead.