Agency Request Form

Select Your Agency*

Other*

Contact Name*

First Last

Contact Title*

Contact Cell Phone*

Contact Email*

What needs do you have?*

If needed, click each option to read a description.

Tangible Items (Journey Bags, Infant Care Items, Care Packages, etc.)
First Response (Car Seat, Bed, Stroller, High Chair, Clothes)

Tangible Items

Tangible Items provide for the practical needs of the foster care community.

What Tangible Items are needed?*

Share any pertinent details that would be helpful in meeting this need.*

Journey Bags

Diaper bags, backpacks, or duffel bags with personal & comfort items for children in foster care to call their own

What size Journey Bags do you need?

Welcome Home Basket

Household items for vulnerable adults ready to transition into independent living or move to new residences

Share a little about this Welcome Home Basket recipient:*

First Name	Age	Gender	Favorite Colors/Patterns	Hobbies

What kitchen items would you like included in this Welcome Home Basket?*

What bed & bath items would you like included in this Welcome Home Basket?*

What size bedding is needed?*

Twin
Full
Queen

What cleaning supplies would you like included in this Welcome Home Basket?*

Are any of the following additional resources needed for this Welcome Home Basket?*

Food
Gift Cards
Tools
Info on Community Resources

First Response

First Response provides a way for immediate, tangible needs to be met through individuals and local churches. This program works directly through agency referrals and serves vulnerable families, relative foster parents, young adults, and foster parents.

Have you explored other community resources to help meet this need?*

Yes
No

What other resources have you have explored to meet this need:*

Desired deadline for the need to be met:*

4 days
1 week
2 weeks

Client's First Name*

First

Which best describes your client:*

Teen in Foster Care
Relative Foster Parent
Reunifing Family (with open case)
Intact/At-Risk Family (with open case)
Foster Parent

How many parents are in the home?*

1 parent household
2 parent household

What is the expected reunification/move-in date?*

Description of Need:*

Please select the item(s) you need.

Car Seat(s)
Bed(s)
Bedding
Stroller
Clothing
Highchair

Disclaimer

If you have not reached out to other ministries or community resources, please do so before completing this request form. In order for us to best honor our donors, it is important we utilize all community resources in the areas they specialize in.

Car Seat Specifics

What kind of car seat(s) are needed?*

Infant Car Seat (5-22 lbs.)
Convertible Car Seat (5-22 lbs. rear-facing OR 20-65 lbs. forward-facing)
Booster Car Seat (40-65+ lbs.)

Quantity of Infant Car Seats Needed:*

Quantity of Convertible Car Seats Needed:*

Quantity of Booster Car Seats Needed:*

Bed Specifics

What bed size(s) is/are needed?*

Crib
Toddler Bed
Twin Bed
Bunk Bed - Twin
Full Bed

What are the ages of the children that will use the requested bunk bed?*

Quantity of Cribs Needed:*

Quantity of Toddler Beds Needed:*

Quantity of Twin Beds Needed:*

Quantity of Bunk Beds (twin) Needed:*

Quantity of Full Beds Needed:*

What is needed for the bed(s) you selected?*

Bed Frame
Mattress

If there is a need of different things for different bed sizes, please explain here.

Bedding Specifics

What size bedding is needed?*

Crib
Toddler Bed
Twin Bed
Bunk Bed - Twin (2 of everything you request)
Full Bed

What bedding is needed for the bed(s) selected?*

Pillow
Sheets
Blanket/Comforter

If you need different things for different bed sizes, please explain here.

Please give us more information about each individual needing bedding*

(Click (+) to add more rows/individuals)

First Name	Age	Gender	Favorite Color	Favorite Characters/Interests

Stroller Specifics

What kind of stroller is needed?*

Single Stroller
Double Stroller

You marked a single stroller. Will an umbrella stroller work?*

Yes
No

Clothing Specifics

Please list the gender, size and clothing specifics for each individual needing clothing*

(Click (+) to add more rows/individuals)

First Name	Age	Gender	Size	Clothing Specifics (shirts, pants, pajamas, shoes, etc.)

Detailed Information

Please include any additional details/information you have regarding the clothing you need.

Delivery Information

When filling out the Delivery Contact information below, please consider which scenario describes this delivery.

Use the worker contact info/agency address for delivery if the client is unwilling to accept deliveries from TFI volunteers.

Use client* information and address if they are willing to receive the item(s) at their personal address.

*We respect your client's confidentiality and would never share their name/location except for delivery purposes.

Where should the item(s) be delivered?*

Agency
Client's Home

Is your client willing to receive contact from TFI and those who will deliver?*

Yes

If items are being shipped, can they be shipped directly to the client's residence?*

Yes
No

If items are shipped, are there any special delivery instructions we need to be aware of?*

Delivery Contact Name*

First Last

Delivery Contact Phone*

Delivery Contact Relationship to Client

Delivery Contact Address*

Street Address Address Line 2 City State ZIP Code

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Project Sunshine

Updating agency spaces with new paint, furniture, activities, and more for children, families, and workers!

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What specific things would you like completed for this Project Sunshine?

Note: TFI cannot provide renovations (i.e., construction) in the office; only redecorating.

Paint
Decorations
Storage
Furniture
Activity Supplies (toys, books, art supplies) Electronics

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What are the dimensions of the room(s)?

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Please include photos of the room(s).

Drop files here or

Max. file size: 400 MB.

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Please list any materials that have already been purchased or provided for the room(s).

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Will any current furnishings or items be reused in the room(s)?

Yes
No

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Please provide dimensions for furniture or storage containers that will be reused.

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Please provide photos of those items to be provided/reused.*

Drop files here or

Max. file size: 400 MB.

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What materials will The Forgotten Initiative need to provide?

Paint
Decorations
Storage
Furniture
Activity Supplies (toys, books, art supplies) Electronics

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Who will be clearing the room(s) to prepare for the Project Sunshine?

Agency Personnel
TFI - Note: may require additional day of access to room(s); also, please note where items should be stored in the building or discarded. TFI cannot remove items from the premises.

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The agency’s building is:

Owned by the agency
Leased by the agency

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Please provide three 2-day time periods that a TFI team can have access to the building to complete the project.

Time Period Option 1	Time Period Option 2	Time Period Option 3

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Who is the contact person for access to the building?* to complete the project.

Contact Name	Contact Phone Number	Contact Email

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Will this person be available for questions on project day(s)?

Yes
No

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If not, please provide a backup contact for access to the building for project day(s)?

Contact Name	Contact Phone Number	Contact Email

Staff Meetings

Would you like a TFI Representative to speak at a staff meeting?*

Yes
Not at this time.

Please list the dates & times of the upcoming staff meeting you would like TFI to speak at.*

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Beautification Team

Maintaining agency rooms so they are welcoming to children and families (cleaning and upkeep)

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Are you currently in need of a Beautification Team at your agency?

Yes! We don't have a team yet but would like one!
Yes, we have a team already but I have additional comments or specific requests.

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Additional comments or specific requests of our Beautification Team:

TFI Thomas County, GA

Tangible Items

Journey Bags

Welcome Home Basket

First Response

Disclaimer

Car Seat Specifics

Bed Specifics

Bedding Specifics

Stroller Specifics

Clothing Specifics

Delivery Information

Project Sunshine

Staff Meetings

Beautification Team