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Family Household Needs (Ptease list alt items needed that are not related to a specific family member i'e': towels, pots
and pans, dishes, silverware, food, toilet paper, laundry soap, cleaning supplies, etc,):
cooking skillet, red or black or grey curtains, queen size sheets (red or grey or white), blender, coffee pot, kitchen towets, microwave,
kitchen clock, picture frames (black)
Total number of family members: 3
please list specific needs for each member of your family. Be as detailed as possible so your sponsor has a clear
understanding of the items needed.
Family Member #
shoesize:
Favorite
B
colon
1 Rgu, 26 ,
Gender:
F
Pant Size:
Womens sz
9
Shirt Size:
womens Medium
biking, exercising, reading,
tilterests: s-nowboarding,
bl?ck
Books/Games/Puzzles Enjoyed:
supernatural books
Toys/Other Specific Needs or Wishes:
Toiletry Needs:
shirts' socks
Scarf, SnoW glOveS, Warm gloves, exercising pants, running shoes sz B, plain long sleeved
Family Member #
2 lge: B
Gender:
M
Pant Size:
Boys
B
shirt size:
Bovs 8or Medium
costumes and play pretend, legos' superheros
.. tnterests: building, dress up in
adventure books
r99,
Books/Games/Puzzles Enioyed:
Favorite coto.
pants sz 8'
toothp*aste, bath wash
,oys/other specific Needs or wishes:
Toiletry Needs:
shoe size:
12.5
bike helmet'
winter boots, winter hat, snow gloves, long sleeved shirts, socks, winter coat. sled,
samily Member s
Shoe Size:
1
Gender:
Pant size:
B?y:
A
shirt Si:e:,
Boys
B crr
playing pretendldressing up
lnreresrsi superheros, building,
-
Favorite color,
3 age: !
blue
Books/Gameslfluzzles Enjoyerl:
wash,
Toiletry Needs: bath
Y1ttf. "'*o"'
toothpasle
'"""'HYil-
-
adventure' lego
royslother specific Needs or wishes: yillqf ?-??1:
long sleeved shirts, winter hat, socks, winter gloves, wintelcoat, pants',sled. bike heirnet'
Family Member #
Shoe
Size:
4
Age:
--.*.-...- Gender:
Pant Sire:
Shirt Size:
lnterestsl
FavoriteColor:-
BookslGames/PuzzlesEnjoyed:
Toys/Other Specific Needs or Wishes:
Toiletry Needs:
you
COmrnents: Tlrank
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to
please return completecl forrrr to the Str"rdent Union Building lnformation Desk or email you application
HolidavHelP@boisestate.edu'
Form must be subnritted bv Friday,
November B, 4013 by 9:00pm
Student Union lnformation Desk
19L0 UniversitY Drive
Boise, lD 837?5-1335
-
Questiorrs? Email l"lolidayl"lelp@ boisestate'edu
vourconfi{entiality will be maintoined
Medittn.t