Employee Giving Tree Request Form

Employee Assistance Request Form

Please complete this form to request participate in the Giving Tree Program sponsored by the Oneida Health Foundation
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number. Format: (000) 000-0000.
Department/Location
Position
*We are sorry, but this program is for employees of Oneida Health.
Please confirm that you are an employee of Oneida Health.
Notification Preference
Manager's Name
If Other, please specify
Immediate In-Home Family Size (Adults + Children)
Holiday Celebrated
Assistance Requested (check all that apply)
Children's Holiday Gift Request
Child 1 Information
Child #1 Details
Child 1 Age
Child 1 Special Interests, Characters, Themes, Super Heros, Hobbies
Child 1 Favorite Color(s)
Child 1 Gender Expression
Child 1 Size Range
Child 1 - Top Size
Child 1 - Bottom Size
Child 1 - Coat Size
Child 1 - Boot/Shoe Size
Child 1 Wish List Suggestion #1
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.
Child 1 Wish List Suggestion #2
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.
Child 2 Information
Child #2 Details
Child 2 Age
Child 2 Special Interests, Characters, Themes, Super Heros, Hobbies
Child 2 Favorite Color(s)
Child 2 Gender Expression
Child 2 Size Range
Child 2 - Top Size
Child 2 - Bottom Size
Child 2 - Coat Size
Child 2 - Boot/Shoe Size
Child 2 Wish List Suggestion #1
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.
Child 2 Wish List Suggestion #2
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.
Child 3 Information
Child #3 Details
Child 3 Age
Child 3 Special Interests, Characters, Themes, Super Heros, Hobbies
Child 3 Favorite Color(s)
Child 3 Gender Expression
Child 3 Size Range
Child 3 - Top Size
Child 3 - Bottom Size
Child 3 - Coat Size
Child 3 - Boot/Shoe Size
Child 3 Wish List Suggestion #1
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.
Child 3 Wish List Suggestion #2
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.
Child 4 Information
Child #4 Details
Child 4 Age
Child 4 Special Interests, Characters, Themes, Super Heros, Hobbies
Child 4 Favorite Color(s)
Child 4 Gender Expression
Child 4 Size Range
Child 4 - Top Size
Child 4 - Bottom Size
Child 4 - Coat Size
Child 4 - Boot/Shoe Size
Child 4 Wish List Suggestion #1
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.
Child 4 Wish List Suggestion #2
suggestions should be $25 or less per item, sorry, no bikes, drones, gift cards, video games.

Employee Assistance Request Form

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information