Santa Stork Form - Stock Referrals

Page 1


Welcome to Stripey Stork's Santa Stork request form - Please use this form to request Christmas gifts for large number of families.

You will need to allow cookies to submit this form.

Please note we are no longer accepting spreadsheets for Santa Stork requests. 

For more information and FAQs about the Santa Stork project, which might be useful before you fill in this form, click here.

Please note this form is for Santa Stork only. If you would like to make a referral for our core service, click here or for school items, click here.

Santa Stork queries? Please contact santa@stripeystork.org.uk.


YOUR FEEDBACK is essential. It helps us demonstrate the importance of our service to families in hardship – and it means a lot to us. Please email us with any family feedback, photos, your comments about the impact of our service, or anything else you’d like to tell us.

For further information about how we use your data, please click here..
Referral policy - please read
If you are unable to agree to our referral policy we cannot process your referral further. Please contact info@stripeystork.org.uk for further information
Your Details
Please select your type of organisation and then the name of the organisation. If you are unable to find your organisation name, please select NOT LISTED and complete the following questions.









We collect geographical information to derive the areas where our service is most needed and used. We store this data securely, and take measures to prevent it from being disclosed to third parties. The data is collected via our referral partners, and is only used in aggregated form to assess the impact of our work. The system we are using to manage referrals data is Salesforce, the world’s #1 cloud-based CRM system. It has robust data security measures in place. You can find out more about how Salesforce protects your data here (https://trust.salesforce.com/en/).

If the majority of families who will benefit from these items live in a different postcode to that of your organisation, please provide it here.

Please choose the main ethnicity of the families who will benefit from these items.

Please choose any other ethnicities of the families who will benefit from these items, if known.

Page 2

Household info
Total number of families, children and adults you expect to benefit from these items.



Please select as many reasons for referral which apply to the families you are referring
Age ranges of children
Please provide the number of children within the stated age ranges:

























Please double-check the total to ensure it is correct

Page 3

Please complete details for each Christmas gift needed. Click on the 'Request another gift' button, ensuring each child in the household (up to the age of 18) is included.                                                                                                              Please note that each gift request is subject to availability. If there are no gifts of the type selected we will provide a suitable alternative based on age and gender. At the end of this form there is a comments box which you to add any notes about likes and dislikes to guide us.  

Items - complete for each item




NB
Please include any particular preferences in the comments field


Page 4

Last few bits and pieces

Delivery
If you have a pre-existing delivery arrangement with us, please continue to submit this form and you will receive an email with a link to book a delivery slot.

Please let us know where you would like your referral to be delivered to in the comments box.

If you do not have a delivery arrangement with us, please contact us at refer@stripeystork.org.uk to enquire.

Delivery slots are limited and we cannot guarantee availability.
Collection
You have selected a collection slot, and you will be sent an email with a link to our appointment booking page, when you have submitted this form.


Contact Information