How many children in the home under the age of 18? *
What County Are You Currently In? *
Are you currently employed? *
Where are you currently staying? *
Do you receive food stamps? *
Do you have a High School Diploma or GED *
Please provide details about your current situation and the assistance that you are looking for?
End of Assessment
Thank you for answering the assessment. When a case worker has the time we will review. You will ONLY receive a call from us if we have any resource that may be able to help or if we have additional questions.
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