Apply now! – Winona Goodfellows

The 2024 application period has been extended to FRIDAY, NOVEMBER 15! Please submit your application now!

Your name (must be parent or guardian) *

We are committed to your privacy. Your name, contact info and mailing address is never shared, and is deleted each year after the program ends. We will only reach out if we have questions about the application.

Your email *

Your phone *

Child's name (Only one child per form) *

Please complete this form, then return to winonagoodfellows.org/apply to complete a new form for each additional child. We know this is extra effort but it’s the best way we can ensure you get every voucher you need – thank you!

Child's school *

Note: If the child is homeschooled or enrolled in an online school, you must provide some evidence of enrollment using the file upload below.

If you chose "Other", explain:

(For homeschooled children only): Upload proof of enrollment

Click or drag a file to this area to upload.

This could be a confirmation email from the school, a screenshot of an online curriculum, anything that demonstrates enrollment. If we have questions or need additional info, we’ll reach out.

Child's grade *

Only children currently enrolled in grades PreK-8th are eligible.

Your Street Address *

Please include apartment number if applicable

Your City *

Your Zip Code *

Do you meet guidelines for income and family size as listed below? *

FAMILY SIZE (includes all children and adults) and GROSS ANNUAL INCOME LIMIT

Family size of 2: Less than $40,000 in gross annual income
3: Less than $50,000
4: Less than $60,000
5: Less than $70,000
6: Less than $80,000
7: Less than $90,000
8 or more: Add $10,000 for each additional family member

My digital signature (type full name below) *

By digitally signing this form, you affirm that the information you provided is correct to the best of your knowledge. Goodfellows reserves the right to check eligibility and withhold vouchers if the information provided is untrue or incomplete.

Please email winonagoodfellows@gmail.com with any questions or concerns.

Vouchers are good through December 31 at participating retailers in Winona.

CONTINUED FOR 2024: Vouchers are mailed directly to the address listed on the form. They will not be distributed through schools as they have in past years.

If you do not receive your voucher by Monday, Dec. 2, please email winonagoodfellows@gmail.com