Thanksgiving Recipient Application

Palatine Township is busy preparing for its annual Thanksgiving Basket Program. We provide under-resourced families with a basket filled with ingredients to prepare a traditional Thanksgiving dinner donated by generous members of our community. If you would like to enroll in this program, please submit this application online no later than October 31, 2024.

To participate you must:

Be a Palatine Township resident
Provide the required documents

Once you apply you will be notified by email if we need any more information. Please check your email including your spam and/or junk folders.

Your basket will be distributed at Palatine Township on November 23, 2024, no exceptions will be made.

Please complete all information below.

General Assistance Case Number

Case Number - Leave blank if not known.

Contact Information

Adult #1 First Name(Required)

Adult #1 Last Name(Required)

Adult #2 First Name

Adult #2 Last Name

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Number of Family Members(Required)

I am aware that participating in other organizations’ Thanksgiving Basket Programs is strictly prohibited. Agencies will cross reference lists, and if I am enrolled in more than one program I will be removed from the Palatine Township Programs for one year. I hereby authorize Palatine Township to use my photo in Township materials including newsletter, website and to release my name to volunteers/churches, and other organizations. I understand that my name will not be released to soliciting organizations. By clicking this checkbox, it serves as my signature and indicates that I agree with the terms of this program.