AGENCY REQUEST - The Generosity Collective

request forM

we are closed FRIDAY 4th of APril until Monday 21st of APRIL

Basic Details

Join the community

Form Submission is restricted

Thank you for joining our community.

General

Details

Request

First Name*

Last Name*

Organisation*

Address Line 1*

Street Address

Address Line 2

Suburb*

State*

Post Code*

Phone Number-*

Email*

Hours of Operation for delivery address*

What Local Government Area (LGA) does the individual or family currently reside? e.g City of Whitehorse PLEASE PUT REFUGE LOCATION if applicable*

How many individuals in the family require support?*

One

Two

Three

Four

Five

Six

Level of support required*

Full Crisis Pack - Requires 3-4 outfits incl. underwear, socks, pjs and toiletries

Seasonal Pack- Has some clothing OR has received support before and needs warmer/cooler clothing only

Supplementary Pack- Only specific items which can be typed in the notes section of each request. E.G Coat

Growth Spurt Pack- has received a pack before but has outgrown the items.

Current living situation of the individual or family?*

Does the individual or family identify as Aboriginal or Torres Strait Islander?*

YES

PREFER NOT TO SAY

Ethnicity of the individual or family?*

Does the individual or family require culturally sensitive clothing? If so, please provide as much detail regarding the degree of modesty required for each individual.

Do your require toiletries for this request:*

Yes

Do your require a knitted blanket for this request/family*

Yes

Family Member 1

AGENCY REQUEST ID CODE

If unknown the TGC will allocate a code

Has this individual received support from The Generosity Collective before?*

YES

Female

Male

Non–binary

Age*

Babies Clothing Size

Please select

Please select
00000 (prem)
0000 (newborn)
000/ 3 MONTHS
00/6 MONTHS
0/9 MONTHS

kids-TOPS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

kids-BOTTOMS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

ladies-TOPS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

ladies-BOTTOMS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

men's- TOPS

Please select

Please select
XS
S
M
L
XL
XXL
3XL
4XL
5XL limited availability
6XL limited availability

men's-BOTTOMS

Please select

Please select
28/XS
30/S
32/M
34/L
36/XL
38/XXL
40/3XL
42/4XL
44/5XL limited availability
46/6XL limited availability

Clothing Style Preference

Dark Muted Tones

Bright

Oversized

Modest

Unisex

NOTES: We always try and personalise donations to suit the individuals they are intended for. Please let us know of any likes, dislikes, colour preferences or themes that might put a smile on someone’s face.

Family Member 2

Has this individual received support from The Generosity Collective before?*

YES

Female

Male

Non–binary

Age*

Babies Clothing Size

Please select

Please select
00000 (prem)
0000 (newborn)
000/ 3 MONTHS
00/6 MONTHS
0/9 MONTHS

kids-TOPS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

kids-BOTTOMS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

ladies-TOPS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

ladies-BOTTOMS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

men's- TOPS

Please select

Please select
XS
S
M
L
XL
XXL
3XL
4XL
5XL limited availability
6XL limited availability

men's-BOTTOMS

Please select

Please select
28/XS
30/S
32/M
34/L
36/XL
38/XXL
40/3XL
42/4XL
44/5XL limited availability
46/6XL limited availability

Clothing Style Preference

Dark Muted Tones

Bright

Oversized

Modest

Unisex

Family Member 3

Has this individual received support from The Generosity Collective before?*

YES

Female

Male

Non–binary

Age*

Babies Clothing Size

Please select

Please select
00000 (prem)
0000 (newborn)
000/ 3 MONTHS
00/6 MONTHS
0/9 MONTHS

kids-TOPS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

kids-BOTTOMS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

ladies-TOPS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

ladies-BOTTOMS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

men's- TOPS

Please select

Please select
XS
S
M
L
XL
XXL
3XL
4XL
5XL limited availability
6XL limited availability

men's-BOTTOMS

Please select

Please select
28/XS
30/S
32/M
34/L
36/XL
38/XXL
40/3XL
42/4XL
44/5XL limited availability
46/6XL limited availability

Clothing Style Preference

Dark Muted Tones

Bright

Oversized

Modest

Unisex

Family Member 4

Has this individual received support from The Generosity Collective before?*

YES

Female

Male

Non–binary

Age*

Babies Clothing Size

Please select

Please select
00000 (prem)
0000 (newborn)
000/ 3 MONTHS
00/6 MONTHS
0/9 MONTHS

kids-TOPS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

kids-BOTTOMS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

ladies-TOPS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

ladies-BOTTOMS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

men's- TOPS

Please select

Please select
XS
S
M
L
XL
XXL
3XL
4XL
5XL limited availability
6XL limited availability

men's-BOTTOMS

Please select

Please select
28/XS
30/S
32/M
34/L
36/XL
38/XXL
40/3XL
42/4XL
44/5XL limited availability
46/6XL limited availability

Clothing Style Preference

Dark Muted Tones

Bright

Oversized

Modest

Unisex

Family Member 5

Has this individual received support from The Generosity Collective before?*

YES

Female

Male

Non–binary

Age*

Babies Clothing Size

Please select

Please select
00000 (prem)
0000 (newborn)
000/ 3 MONTHS
00/6 MONTHS
0/9 MONTHS

kids-TOPS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

kids-BOTTOMS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

ladies-TOPS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

ladies-BOTTOMS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

men's- TOPS

Please select

Please select
XS
S
M
L
XL
XXL
3XL
4XL
5XL limited availability
6XL limited availability

men's-BOTTOMS

Please select

Please select
28/XS
30/S
32/M
34/L
36/XL
38/XXL
40/3XL
42/4XL
44/5XL limited availability
46/6XL limited availability

Clothing Style Preference

Dark Muted Tones

Bright

Oversized

Modest

Unisex

Style Preference: Dark Muted Tones, Bright, Modest Clothing, Unisex, Oversized etc

Family Member 6

Has this individual received support from The Generosity Collective before?*

YES

Female

Male

Non–binary

Age*

Babies Clothing Size

Please select

Please select
00000 (prem)
0000 (newborn)
000/ 3 MONTHS
00/6 MONTHS
0/9 MONTHS

kids-TOPS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

kids-BOTTOMS

Please select

Please select
1
2
3
4
5
6
7
8
9
10
12
14
16/XXS

ladies-TOPS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

ladies-BOTTOMS

Please select

Please select
8/XS
10/S
12/M
14/L
16/XL
18/XXL
20/3XL
22/4XL
24/5XL limited availability

men's- TOPS

Please select

Please select
XS
S
M
L
XL
XXL
3XL
4XL
5XL limited availability
6XL limited availability

men's-BOTTOMS

Please select

Please select
28/XS
30/S
32/M
34/L
36/XL
38/XXL
40/3XL
42/4XL
44/5XL limited availability
46/6XL limited availability

Clothing Style Preference

Dark Muted Tones

Bright

Oversized

Modest

Unisex

Collection Drop-off Point

I am personally available to collect items from the warehouse location in Mitcham:

Tuesday 10am-12pm

Friday 10am-12pm

A representative from our organisation will collect all items from your warehouse location in Mitcham:

Tuesday 10am-12pm

Friday 10am-12pm

Delivery is preferred as we are an INPATIENT Ward.

Location Above

New Location

Type new location if applicable

Permission to send text messages to mobile number given:*

Yes

Do your require toiletries for this request:*

Yes