Apply For Services
By filling out this form, you agree to release this information to our agency. We will not share any of your information with other agencies or organizations without your permission. Please give us 5-7 days to process your application and determine if you are eligible for assistance. Completing an application and being interviewed does not guarantee that assistance will be provided. You will need transportation to our office to pick up any items or services we offer.
*WE DO NOT ASSIST WITH RENT OR UTILITIES*