OFFICIAL ASSISTANCE PROGRAM

Family Assistance Application

We are here to support you in every season. This application is the official step toward receiving help, and we review every story with the deepest care and compassion.

Please note: Angel Tree Applications are ages 0-17. Families must reside in Mims, Titusville or Port St John. If you reside outside of these areas, please email us at info@littleblessingsbrevard.org

Family Assistance Application

We are here to support families during difficult seasons. Please fill out the form below with care, and our team will review your situation with compassion and dignity.

Wish list items cannot include electronics such as xbox, playstations, wii, etc. They must be of reasonable value such as toys, art supplies, games etc. Please add favorite color, tv show, animals or anything else that may help our sponsors purchase gifts. Thank you!

Family Assistance Application

Parent/Guardian first name

Parent/Guardian last name

Email address

Phone number

Number of children

Household size

Child's Name

Child's Age

Shoe Size

Shirt Size

Pants Size

Wish List

Child's Name

Child's Age

Shoe Size

Shirt Size

Pants Size

Wish List

Child's Name

Child's Age

Shoe Size

Shirt Size

Pants Size

Wish List

Type of assistance needed

Your story and needs, additional children's information goes here:

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

By signing this form, you acknowledge that you are providing your family information to Little Blessings, Inc to receive assistance when resources are available. This form does not guarantee assistance but we will try our best to accommodate every family.

Please upload all documents.

Required documents:

Photo ID
Proof of Residence
Proof of Income for Adults in the household.
Birth Certificates of the children you are applying for.

What Happens Next

Application Review

Our team reviews every application with deep care and confidentiality. We assess current resources against house-hold needs within our community timelines.

Follow-up Call

If we need more information or have a potential blessing available, we will reach out via the contact details provided in your application.

Decision

While submitting does not guarantee assistance, please know every story is heard. We notify applicants as soon as we can coordinate support.