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VAC Christmas Assistance Guidelines 2013 The Voluntary Action Center Christmas Program is a collaboration between the VAC, Calhoun City Schools, Gordon County Schools, and Gordon EMS who all work together to ensure children have a Merry Christmas. This year to simplify the process all applications will be completed at the VAC. Program Requirements Children Birth to Age 5 or (Children Not Enrolled in Calhoun/Gordon County  Parents/Guardians must provide evidence of participation in the WIC Program on or before Thursday, November 28, 2013. (Have a representative from the Gordon County Health Department complete the form on the back of this page or provide WIC Voucher)  Parents/Guardians must complete two (2) classes offered by the Voluntary Action Center on or before November 28, 2013. (Class Instructor must complete form on back of this page) Program Requirements Children Ages 6 to 18 (Children ages 16-18 must be enrolled in School):  Parents/Guardians must complete a face to face parent/teacher conference for each child on or before Thursday, November 28, 2013. (Teacher must complete verification on the back of this form.)  Parents/Guardians must complete two (2) classes offered by the Voluntary Action Center on or before November 28, 2013. (Class Instructor must complete form on back of this page) Classes Offered in the Community Kitchen at 339 South Wall St., Budgeting and Money Management Classes (Limited to 40 participants per class) Tuesday, September 17 4:00 PM Wednesday, October 30 4:00 PM 6:00 PM Thursday, October 10 11:00 AM Tuesday, November 5 11:00 AM 4:00 PM Saturday, October 12 11:00 AM Saturday, November 9 11:00 AM Monday, October 21 6:00 PM Tuesday, November 19 5:00 PM Tuesday, October 29 1:00 PM Tuesday, November 26 11:00 AM 2:00 PM 4:00 PM Career Building Classes (Limited to 50 participants per class) Monday, September 23 4:00 PM Monday, November 11 4:00 PM Monday, October 7 4:00 PM Wednesday, November 13 4:00 PM Thursday, October 17 2:00 PM Thursday, November 21 2:00 PM Monday, October 28 4:00 PM English Classes for Spanish Speakers Monday Nights at 6 PM Bring the completed form along with the following documents to the VAC to finish the application:  Picture ID or Birth Certificates for all adults in the household  Birth Certificates, OR Verification of Birth, OR Social Security Cards, OR Shot Records, OR Picture IDs for children birth to age 18. (Children ages 16-18 must be currently enrolled in school. Children in homeschool programs must provide verification.)  WIC, Foodstamps, and Medicaid/Medicare Documentation if applicable.  30 days proof of income for the household (paystubs, benefits letters, food stamp verifications, or written statements from employers or income providers)  Proof of residency (Electric Bill, Gas Bill, Water Bill, Lease, or letter of address from child's school) FINAL DAY TO COMPLETE APPLICATIONS IS FRIDAY, NOVEMBER 29, 2013 VAC BEGINS TAKING APPLICATIONS ON TUESDAY, OCTOBER 1, 2013 Appointments may be made by calling 706-629-7283. Walk-ins welcome Monday-Friday from 10AM-1PM. Wait times vary between 15 minutes to 1 hour.


VAC Christmas Application Parent Voucher 2013 This section MUST be completed and turned in to the Voluntary Action Center when

Please make sure you have the following when completing the application:  Picture ID or Birth Certificates for all adults in the household  Birth Certificates, OR Verification of Birth, OR Social Security Cards, OR Shot Records, OR Picture IDs  WIC, Foodstamps, and Medicaid/Medicare Documentation if applicable.  30 days proof of income for the household (paystubs, benefits letters, food stamp verifications, or written  Proof of residency (Electric Bill, Gas Bill, Water Bill, Lease, or letter of address from child's school)

FINAL DAY TO COMPLETE APPLICATIONS IS FRIDAY, NOVEMBER 29, 2013 This Section Confirms completion of class requirments at the Voluntary Action Center Parent/Guardian Name DOB Class Attended Date Instructor Signature

This Section Confirms that the Parent/Guardian attended a FACE to FACE Parent/Teacher Child's Name DOB Child's School Date Teacher's Signature

This section confirms enrollment in the WIC Program. This section must be completed by a Parent/Guardian Name DOB Printed Name of HD Employee Date Signature of HD Employee


Vac christmas assistance guidelines 2013