2024 Samaritan House Family Sharing Program-- Returning Donor Application

Welcome back to the Family Sharing Program (FSP) for 2024. Returning donors, please complete the short form below to let me know your preferences for 2024.

If you've not been an FSP Donor in the past, please click on the following link to start the application process to become an FSP Donor:

New FSP Donor Application

Thank you for caring and sharing,

Tish Busselle and Kathy Martin, volunteers

Family Sharing Program Coordinators

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* 1. Please provide the following:

Your Last Name:

Your First Name:

If requesting on behalf of a group/business etc., please provide the name:

Your address

City and Zip

Your Email:

The best phone number by which to reach you:

Do you use a cell phone for text messaging?

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* 2. To help a family, please choose the family size/sizes and enter the number of desired families. (Please keep in mind that the expectations for gifts for children/teens through age 17 are $90-100 for each child/teen, $30-40 for gifts for each adult in the family, and $50-60 per person for food for each family.)

How many families of 2 people (parent and child)?

How many families of 3 people (could be a parent and 2 children or two parents and 1 child)?

How many families of 4 people?

How many families of 5 people?

How many families of 6 or more people?

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* 3. Will you need translation assistance from us for communicating with Spanish-speaking clients with no/limited English?

Yes

Comment if any:

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* 4. OPTIONAL Please provide any other information here that you would like us to know as we match you with a client/s. Note: FSP clients live anywhere from Millbrae to East Palo Alto/East Menlo Park. Thank you

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* 5. Will you be able to meet the following deadlines:
Contact the client family within a week of receiving your assignment and, for later applicants, no later than Wednesday, December 10 to get specific needs and arrange a convenient delivery date?
Send confirming details via text, mail, or email to the client family within 2 days after you contact them?
Make your delivery/ies outside by no later than Sunday, December 15?

Comment: (please specify)

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* 6. Do you have any suggestions, comments or questions for us?

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* 7. Thank you for caring and sharing this holiday season. We will be in touch with you when we have a client family/ies who fit your request. We will start sending out client family information forms to donors the week of November 4th.

Tish Busselle and Kathy Martin, volunteers
Family Sharing Program Coordinators
Samaritan House
email: familysharing@samaritanhousesanmateo.org