Nominate a Family

ABOUT DIRECTIONS APPLICATION

In12Days Family Nomination

Nominations are now open for 2017

Who we are

In12Days is a local and national network of people across the country who have come together to lift up children and their families who are suffering from the death of a close family member.

What we do

We bring together a volunteer community of friends, families and groups from your community to help bring joy, inspiration, and restorative healing to those who endure great challenges by creating a series of experiences themed around the song “The Twelve Days of Christmas.”

How we do it

For twelve consecutive days in December, these deserving families receive anonymously themed gift baskets on their doorstep delivered by their volunteer community. Each basket comes with a playful note of “explanation” and its contents, ranging from edible pears and “pairs” of socks on Day 1: A Partridge in a Pear Tree to local helicopter tour tickets on Day 10: Ten Lords a Leaping, are thoughtfully considered. Day 12: Twelve Drummers Drumming is our Big Reveal where our recipient families finally “meet” their volunteer communities and celebrate together in song and sweets.

Why we do it

Our work has long-reaching effects on the lives of our recipients who regain their spirit and become productive members of the community again. Many recipients come back as volunteers year after year, paying their gifts forward to others in need.
Beyond those in need, In12Days builds a community around each recipient with a menagerie of volunteers rallying together to uplift our recipients during the holidays. Our volunteers are often overwhelmed with emotion as they participate in the twelve events and witness first-hand the elation felt by our recipients. Far beyond anonymous contributions, our volunteers are touched and inspired by our recipients nearly as much as our recipients are uplifted by the community surrounding them.

How you can help

The attached application serves as the first step in our process. Please complete the form to the best of your ability and reach out to us with any questions or concerns. Keep in mind, surprise is an important element of the In12Days experience. Secrecy is paramount.
Also, should your nominee be selected, we will need to reach out to you to get further details and begin building a group of supporters for your family. Please be sure to include the best phone number and email address at which to reach you. We appreciate your help in lifting up these struggling families.

Nominate A Family

Please only nominate families who have lost a parent or close family member residing in the family home within the past 18 months. Nominated families must include at least one child who is between the ages of 3 and 18.
Complete the form thoroughly, to the best of your ability, and reach out to Vanessa McCallson, Family Liaison, with any questions at 702-812-6436 or vanessam@in12days.org. Partially filled out applications will not be considered.
In12Days is all about secret surprises. Please do not notify the family of their nomination. If they are selected, we will enlist your help and the help of others close to the family in tailoring the “In12Days” experience to their needs.
We will be contacting you to request further information during the selection period in the spring and in the fall when we finalize our recipient list. You are an important link in connecting us to the family’s community support network.
For those nominators not affiliated with a school, please leave the Student Name and Student Number lines on the application blank.

Applications are now open for 2017 family nominations.

We are working hard to make the 2017 experience special for the recipients this year!

Prefer to print and send a pdf? 2016 In12Days Application and Directions.pdf

About You

Nominator Name

Nominator Email

Phone

School

Relationship to Family
CounselorTeacherOther (please indicate below)

About the Student

Student Name

Student Number

Name & Relation of Deceased

Date of Passing

Head of Household & Relationship

Address
,

Other Family Members Residing in the Family Home




What support groups/clubs/teams/organizations are attached to the family?


Do you think the family will be home the first half of December this year?
yesno

Contact of someone close to the family:

Name & number of Emergency Contact:

Name & number of Family Friend:

Tell us their story