Giving Tree Application
Please review the ENTIRE FORM for important guidelines before completing. All information provided herein will be kept confidential.

1. Only current USI employees and currently enrolled USI students (and their immediate family living within the household) are eligible.

2. Your application will be verified for eligibility by one representative from Staff Council and one representative from Human Resources.

3. Those that do not qualify include:
a. USI retirees.
b. Current USI employees and/or students who have participated in the Giving Tree during the past two-year period. Exception: If we have a small amount of applicants, the Giving Tree committee will take this into consideration
c. Extended family members of employees or students, such as brothers, sisters, cousins, etc. This program is intended only for those residing within the same household of the current USI employee or student.

4. Each requested item will be limited in cost to $25.00 in order to provide assistance to as many people as possible during the holiday season.

5. Children 13 and under will receive wrapped gifts.
a. Children may receive a MAXIMUM of three choices of clothing.
b. Children may receive a MAXIMUM of two toys (no electronics or video games)

6. Children AGES 14 to 18 may receive a limit of two gifts.

7. Adults/guardians may receive one gift certificate from Walmart.

8. You may pick up gifts on the following dates: Wednesday, December 10th, and Thursday, December 11th 2014 between the hours of 8:00 a.m. and 4:30 p.m. or if you need different arrangements please contact Lesley Attebury at (812) 464-1896 or laattebury@usi.edu.

9. Please complete this application and return to the same contact person you received it from.
The final deadline date to submit this form is Friday, October 31st 2014.

CONTACT PEOPLE for paper application:
Children’s Center – CN Gyneth Fehribach
Counseling Center – OC 1051 Diana Rumsey
Dean of Students Office – UC 1229 Britney Orth
Recreation, Fitness & Wellness – RFWC Jeannie Kuebler
Religious Life – OD Christine Hoehn
Housing & Residence Life – RES Ciara Harr

10. You must provide the following contact information:
  • - -
  • Please check 3 items only
    Shoes
    Coat
    Shirt
    Pants
    Sleepwear
    Underwear/Socks
  • Please check 3 items only
    Shoes
    Coat
    Shirt
    Pants
    Sleepwear
    Underwear/Socks
  • Please check 3 items only
    Shoes
    Coat
    Shirt
    Pants
    Sleepwear
    Underwear/Socks
Powered byEMF HTML Contact Form
Report Abuse