Harambee Care Request For Services
Please complete this form to request Harambee Care Services. Call for pricing at 888-565-7447
First and Last Name
Are you requesting services as:
Please indicate agency's name (if applicable)
What services are you requesting? (please check all that apply)
Implicit Bias Training
Social Work Field Placement
Social Work Consulting
Social Work Workshops
Are you a licensed Michigan social worker? (Licensure is not required)
How did you hear about Harambee Care?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Harambee Care.