Welcome! If you are looking for resources, support, or would like to schedule an appointment with our Social Work Intern, please complete this form to the best of your ability.

While most questions are optional, your responses help us better understand community needs, improve our services, and ensure we are connecting people with the most appropriate resources and support. The more information you provide, the better we can assist you.

Once your form has been submitted, our Social Work Intern will review your request and follow up as soon as possible. Our typical response time is 3–4 business days, although response times may vary depending on demand.

If you are experiencing an emergency or are in crisis, please call 911 immediately. For immediate mental health or emotional support, call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24 hours a day at no cost.

Privacy Notice

To protect your privacy, your contact information (such as your name, email, and phone number) is stored in a secure file separate from any demographic information (such as sexual orientation or gender identity). These files are not linked. Demographic and other sensitive data is assigned a random ID number and is used only to better understand and serve our community.

You may skip any question you prefer not to answer. However, if you would like us to contact you, please provide accurate contact information. If you prefer not to complete this form, you can access our resource guide by scanning the QR code at the front desk.