Christmas Food Hamper Program

Christmas Food Hamper Program

Every year, Gateway of Hope gives out Christmas food hampers to single adults, couples without children and seniors who are residents of Langley and Aldergrove. If you would like to qualify to receive a food hamper, please fill out the application form below.

Please note that due to COVID-19, food hampers will be distributed by delivery to residences. Deliveries are scheduled for December 21, between 10 am and 3 pm.

Christmas Hamper Registration

  • Please list all members of your household. Press the + button on the right to add another family member.
    Last NameFirst NameM/FBirth DateID TypeID Number 
    Add a new row
  • Please list your income type and monthly amount earned in $. If you do not earn income in that category, please put 0.
    Income Assistance $Canada Pension $Old Age Security $Spousal Support $Other Pension $Other $ 
    Add a new row
  • Please list your monthly expenses in $ in the above categories.
    RentHydroGasPhoneInternetOther: 
    Add a new row
  • Hampers will be delivered on Monday, December 21, between 10:00 AM and 3:00 PM.
  • I hereby give my consent to an authorized representative of The Salvation Army to collect, disclose and use my personal information for the purpose of : (i) ensuring the accuracy of the information received on the Application for Assistance above, (ii) allowing The Salvation Army/Emergency Food Services to assess how my needs may be met and to determine whether assistance is warranted, and: (iii) allowing The Salvation Army/Emergency Food Services to use and share my personal information with other service agencies in order to ascertain, record and determine whether assistance has been or being obtained from other service providers in order to eliminate duplication of services and assistance. I consent to the collection, disclosure and use of my personal information for the above mentioned purposes. I understand that the Salvation Army/Emergency Food Services provides appropriate safeguards to protect the confidentiality of my personal information. In providing the personal information on the Application for Assistance as outlined above, I understand that The Salvation Army/Emergency Food Services in no way guarantees assistance in any form. Any falsehood or misrepresentation on my part could deny this application for assistance. I have read the summary of my personal information above and I declare that it is complete and accurate.

 

 

 

2020-10-28T19:09:03+00:00