Simple Wishes for the Holidays

The Simple Wishes program was created to allow us the opportunity to make a senior feel special and not forgotten over the holiday season.  We provide a wrapped present, signed Christmas card and a visit to each qualifying senior.  Our goal is to recognize seniors with little or no family in the local area, or those who may not receive any presents during the holidays.  An item might be something a senior needs, or just something they would like to have.

Wish Recipient Requirements

Nominees need to be US Citizens, 65+, residing in WNY.  Income under $38,000 ($44,000 for a couple) OR a permanent resident of a care facility.

Application Deadline: November 12th

The first 125 qualifying applications will be fulfilled.

A nominator may refer up to three seniors.  Please do not nominate a senior you nominated last year.

Questions

Contact Wendy at (716) 508-2121 or [email protected].  Fax:  716-662-6985

Application:

First Name
Last Name

MM/DD/YYYY

555-555-5555 or (555) 555-5555


Gift Selections

Maximum gift value is $50. Multiple items may be selected.

NO GIFT CARDS, FOOD, CLOTHING OR FOOTWEAR.

Throw Blanket/Scarf

Hat & Size

Gloves & Size

Small Appliance & Selections

Toiletries & Selections

Hobby Supplies & Selections

Books & Selections

PJs - Gender/Size/Style

Bathrobe - Gender/Size

Other & Selections


Nominator Information:

First Name
Last Name

555-555-5555 or (555) 555-5555