Closet of Hope Referral
Address: 202 S. New Hope Rd. Gastonia NC (located behind Planet Fitness, Hamricks, & Gastonia Grill)
Phone Number: 704-284-3582 Email:
THIS FORM IS TO BE FILLED OUT BY A SOCIAL WORKER OR OTHER AUTHORIZED, REFERRING INDIVIDUALS.
Individual Completing the Form
To best serve our community, referrals cannot be made more often than once quarterly.
(Employees and families of referring organizations are ineligible to participate.)
Name (First & Last)
Phone Number & Email
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