Community Services of Patrick County
This form is to update all available types of services, assistance and resources that are available to Patrick County Residents.
Name of Agency or Organization
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Please state your organization or agency's mission statement or purpose.
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Contact Number for Organization
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Physical Address of Organization
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Mailing address (if different from physical address)
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Website
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Social Media outlets (check all that apply)
Service Hours
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Eligibility
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What type of services do you offer. Please check all that apply as we will be cross referencing.
Is there any other services or programs that you would like to elaborate on or add? Please do so here.
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