Commonpoint Resettlement & Integration Client Intake Form
Thank you for your interest in Commonpoint's Resettlement & Integration services. Commonpoint provides initial resettlement, case management, social adjustment, employment and other services to refugees, asylees, humanitarian parolees, Special Immigrant Visa (SIV) holders and other humanitarian migrants living in New York City, Westchester County and Long Island.

To initiate an assessment for eligibility for services, please complete this form. A member of our team will reach out to you within 5-7 business days to confirm your eligibility, explain programs and services available, and discuss next steps.
Email *
What is your full name (First, Middle and Last)? *
What is your immigration status? *
What is your nationality? *
What date did you receive your immigration status? *
For refugees/SIVs/humanitarian parolees, this is the date you arrived in the United States. For asylees, this is the date you received your approved asylum grant.
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Where do you currently live? *
Please note that you must be a resident of New York City, Westchester County or Long Island to receive Commonpoint R&I services.
What is your phone number? *
What is your email address?
Are you able to communicate in English? *
What is your preferred language(s)? *
How many people are in your family/household? *
Have you received services from another resettlement agency? *
For example, resettlement agencies in New York City include IRC (International Rescue Committee), Catholic Charities, CAMBA and Church World Service.
Have you lived in another state in the United States of America (besides New York)? *
If yes, what state did you live in and what date (month/day/year) did you move to New York? *
What services are you in need of? *
Required
Have you applied for public cash assistance?
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Is there any additional information you would like to share?
Thank you for reaching out to us!
A member of our team will reach out to you within 5-7 business days. You may contact Commonpoint's Resettlement & Integration team at (229) 939-8125 or resettlement@commonpoint.org if you have any questions. Our business hours are Monday through Friday, 9:30am to 5:00pm.
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