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Glad Tidings - 2019 Recipient Contact

 

Star of Hope Mission is a Christian ministry based in Houston, Texas. Due to geographical limitations, we are only able to match Glad Tidings donors with recipients who live in Houston or in selected surrounding communities. In order to provide assistance to those in the greatest need, we are only able to assist new, first time applicants. If you were a recipient of the Glad Tidings Adopt-A-Family program between 2012 through 2017 calendar year, you will not be eligible for Glad Tidings at this time time.

The purpose of this disclosure is to allow a donor to contact you/your family to offer assistance directly to you/them. Disclosure does not guarantee acceptance and may result in visits to your home by a stranger. There are no guarantees of any kind regarding the background of donors, value of the items or number of gifts involved in the Glad Tidings exchange. This consent may be revoked at any time except to the extent that actions have already taken place.

By completing this form you agree to this disclosure. This consent (unless revoked earlier) expires January 1, 2020.

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Your Contact Information:

All interested recipients must complete the on-line registration form and meet in person with a Glad Tidings Adopt-A-Family staff/volunteer to be considered for adoption. When you are contacted by a representative from Star of Hope you will be provided with a list of dates, time and locations to select from.

If you were a participant in the Glad Tidings Adopt-A-Family program between 2013 through 2018 calendar year, you will not be eligible for Glad Tidings at this time time. Please collect and provide ALL of the following documents for your in person interview. You will be contacted by a Star of Hope representative to schedule your in person interview:

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Question - Required - Please click each document listed below to acknowledge that you are aware that these documents are required in order to be considered for Glad Tidings Adopt-A-Family. These documents must be faxed to 281-783-2589 by October 10, 2019.
Please make 12 selections from the choices below.

  Applicant's (Parent/Adult's) Name:

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Name:

 

 

   

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City/State/ZIP:

 

    

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Question - Required - Marital Status:






   


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Question - Required - If you lose your donor due to the nature of your request, aggressive behavior or excessive phone calls/em·ails/text, you will not be assigned a new donor?


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Question - Required - Household Items Needed (click all that apply):

   


   


 

Adults (List all adults in the household. please understand that we only request gifts for the parents and children)

   


   


 


   


   


   


   


   


 
Question - Not Required - Items Adult would like for Christmas (click all that apply):

   


   


   


 


   


   


   


   


   


 
Question - Not Required - Items Adult would like for Christmas (click all that apply):

   


   


   


 


   


   


   


   


   


 
Question - Not Required - Items Adult would like for Christmas (click all that apply):

   


 

Children's Information: (Please only list children that are in your LEGAL CUSTODY)

 

Child 1:

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Question - Required - Gender:


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Child 2:

   


   


 
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Child 3:

   


   


 
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Child 4:

   


   


 
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Child 6:

   


   


 
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Child 7:

   


   


 
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Child 8:

   


   


 
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Child 10:

   


   


 
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Child 11:

   


   


 
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Child 12:

   


   


 
Question - Not Required - Gender:


   


   


   


   


   


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The purpose of this disclosure is to allow a donor to contact me/my family to offer assistance directly to me/us. Disclosure does not guarantee acceptance and may result in visits to your home by a stranger. There are no guarantees of any type about the donors or their gifts. This consent may be revoked at any time except to the extent that actions have already taken place.

This consent (unless revoked earlier) expires: January 31, 2020

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Question - Required - Date:




 

all fields marked with an asterisk (*) are required

   Please leave this field empty

     

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