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Gift Request Form

Check Out the Requirements to Qualify for a Gift

The recipient must be a resident of Orange County, California.
The gift should be made at a time that is instrumental for the recipient and have the potential of changing the trajectory of a life.
The request should be presented by a caseworker with a relief organization.
Grants made at the discretion of Small Angels Foundation.

Community members supporting each other

Request for Financial Assistance

Fields marked with * are required.

Recipient Information

Recipient Name *

Recipient Address *

Street Address *

City *

State *

ZIP Code *

Case Worker Information

Case Worker Name & Relief Agency *

Case Worker Address *

Street Address *

City *

State *

ZIP Code *

Case Worker Email *

Case Worker Telephone *

Gift Details

Gift Requested and Cost *

Gift Recipient Background Information *

How Will this Gift Change the Recipient's Life? *

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