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CLAP Connect Form
CLAP provides resource links and outreach to Sacramento community members. W
e do not provide emergency or housing search services but we will try our very best to get you to the support to help!
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Email
*
Your email
Full Name
*
Your answer
Can you please provide your age?
18 or younger
18-25
26-35
36-45
46-55
56-65
65 and older
Clear selection
Do you identify as male or female?
male
Female
Other:
Clear selection
What ethnicity do you identify with?
Your answer
Do you have a Phone Number? Email?
Your answer
What zip code are you in?
Your answer
Would you like referrals to the following Financial Empowerment services? Check all that apply
Free One on One assistance Credit score improvement, debt reduction, and support with saving
Free small Business or Entrepeneurship Coaching and Support
No Financial Empowerment Services Needed
Is there another issue you are dealing with?
*
Your answer
What supports have you had while experiencing this issue?
*
Your answer
How would you like CLAP to support you?
Your answer
Besides the issue you discussed what other areas of need do you have at this time, if any?
*
Food Insecurities
Housing Support (CLAP does not do Housing Searches or Emergency Services)
Access to Health Support
Access to Mental Wellness Support
Transportation
Employment
Safety/Security
Connect To CLAP For Projects & Services CLAP Is Participating In For Sactown
Other:
Are there more details that you would like to add or think we should know?
Your answer
What is the best time to contact you and follow up? Or meet you if you do not have a phone or email?
Your answer
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