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Applications for Christmas Mother Program 2021

To apply for the Christmas Mother Program in 2021, please print and fill out the paper copy by downloading the PDF below.

Application sessions:

9/20, 21, & 23 9am-4pm and 9/22 12 noon-7pm

Your application is not approved until all documentation is submitted & reviewed at the Application Review Sessions in September at Chesterfield Fairgrounds.

Please bring the filled out application with you.

We will also have blank applications available at the Application Review Session.

Application sessions:

IMPRIMA, (Llene todos los espacios (de las dos páginas) de esta solicitud) Y ENVĺE A CHESTERFIELD COUNTY FAIRGROUNDS (Vietnam Veterans Memorial Building) en las siguientes fechas:

el 20, 21, o  23 de septiembre desde las 9 AM hastas las 4 PM.   o el de 22 de septiembre desde el mediodía hasta las 7 PM  para aprobación final

También tendremos solicitudes en blanco disponibles en la Sesión de Revisión de Solicitudes.


Documentation required for applications:

  • Picture ID
  • Social security cards/tax id for everyone living in the household
  • Proof of residency
  • SNAP Letter (if applicable)
  • Proof of income

Documentación requerida para las solicitudes:

  • dentificación con foto
  • Tarjetas de Seguro Social / Identificación fiscal para todos los que viven en el hogar
  • Prueba de residencia
  • Carta SNAP (si corresponde)
  • Comprobante de ingresos

The Chesterfield-Colonial Heights Christmas Mother, Inc. does not discriminate against clients or employees on the basis of sex, race, age, disability, color, creed, national origin, sexual orientation, gender identity, religion, pregnancy, childbirth or related medical conditions, marital status, status as a veteran, genetic information, or any other characteristic protected by applicable law.

Download Applications

Click one of the links below to download a PDF of the applications to submit them in person.

Please check our website often for updates on operation plans due the COVID virus.