Breeze Through the Summer Program - United Way Galveston County Mainland

Helping our community stay cool and safe

The Breeze Through the Summer program is dedicated to supporting the health and well-being of older adults (ages 60+) during the hot summer months, with priority given to those with disabilities in this age range. By providing free fans, this program helps reduce the risk of heat-related illnesses that can be especially dangerous for vulnerable populations. Whether you’re requesting support for yourself or nominating a loved one, neighbor, or friend, the Breeze Through the Summer program is here to offer comfort, safety, and peace of mind when temperatures rise.

Cooling Support Request Form

This program provides free fans for older adults (ages 60+), prioritizing those with disabilities. You can nominate yourself, a family member, friend, or neighbor. Please fill out the form below to request assistance or to nominate someone in need.

Nominee Information

Please provide information about the individual who needs assistance.

Nominee's Name(Required)

First Last

Nominee's Age(Required)

Does the nominee have a disability?(Required)

Nominee's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nominee's Phone Number(Required)

Nominee's Email Address (if available)

Is this a self-nomination?(Required)

Nominator Information

Only complete this section if you're nominating someone else. We may need to follow up if we're unable to reach the nominee.

Nominator's Name(Required)

First Last

Relationship to Nominee

Nominator's Phone Number(Required)

Nominator's Email

Household Information

How many individuals in the household need assistance staying cool this summer? (Include all who are 60+ or have a disability)(Required)

Cooling Support Request

Please check the cooling item(s) that would best support this household. Final item(s) provided will depend on need, availability, and cost limits per household.(Required)

Box Fan

Oscillating Fan

Hand Fan

No Preference- please choose what's most appropriate

Additional Information (optional)

Please share anything else we should know about the household’s needs or circumstances:

Photo/Publication Consent

Does the individual being nominated consent to being photographed and/or having their name, image, or story shared in United Way promotional materials (such as social media, newsletters, or reports)? *Note: Consent is not required to receive assistance through the program.(Required)