This in-take form is for anyone who is seeking FREE Community Resources, does not matter what age you are, from youth, disabled, senior citizens, we are here to provide the resource. It is also for At-Risk Young Adults Ages (11-29) FREE Supportive Services which means we work one-on-one with At-Risk Young Adults needing assistance in seeking our program services: Education, Vocational, Life Skills and Re-Entry/Diversion services. We do not turn anyone away. Once you complete the in-take, you will be contacted within five business days. The information you provide is solely for the purpose to assist us in how to give you the help you need to meet your goals, this information will NOT be shared with any agency and/or persons.
***PLEASE BE SURE TO SPELL YOUR E-MAIL AND PHONE NUMBER ACCURATELY***
Thank you so much!
