OHHF Holiday Drive Donor Interest
Name & Contact Information
Thank you for supporting Ollie Hinkle Heart Foundation’s Holiday Giving Adopt-A-Family Drive. Please complete this form to share your interest in participating in this year’s event.
First Name
Last Name
Please select your current age group:
Young Adult (18-39)
Adult (40+)
Gender
Please select...
Female
Male
Transfeminine
Transmasculine
Non-binary
Gender-nonconforming
Prefer not to answer
Other
If other, please specify.
Pronouns
she/her
he/him
they/them
prefer not to say
other
If other, please specify.
Race/Ethnicity
Select all that apply:
American Indian or Alaskan Native
Asian or Asian American
Black or African American
Hispanic or Latino/a/x
Native Hawaiian or Other Pacific Islander
White or Caucasian
Prefer not to answer
Other
If other, please specify.
Email
Phone Number
Phone type:
Please select...
Mobile
Home
Work
Other
If other, please specify.
Donation Information
Which market are you interested in supporting?
-
Chicago
Bay Area
No preference
How many people are you interested in supporting during the OHHF Holiday Adopt-a-Family drive?
Please select...
One individual
2-3 individuals
A small family (2-4 people in the same household)
A larger family (5-7 people in the same household)
Other
If other, please specify.
Are you representing a company/business that will be participating in this year's holiday drive?
Yes
No
Business Contacts
Please list your company/business name:
Do you have any additional business contacts who may be interested in supporting this request?
Yes
No
First & Last Name:
Email Address:
Phone Number:
Contact Information