Faith in Action Chelsea and Dexter MI Covid-19 Emergency Assistance Form
Any household in the Chelsea and Dexter School District, plus Scio Farms neighborhood who is struggling financially already, or as a result of the Covid-19 Global Pandemic, please complete this form and social work staff from Faith in Action will reach out to you as soon as possible. No commitment is being made by filling out this information form by you or by Faith in Action, we just want to see if we can help! Qualifying households can often at least get food from FIA. Additional resources will be evaluated as we are able.
Email address *
Which School District is your household is located in? *
First and Last Name of person completing this form *
Your answer
How many total people, including you, are in your household? *
Your answer
Please list name and age of all household members.
Your answer
Phone number: *
Your answer
Best time to reach you by phone:
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
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