Ukrainian Humanitarian Parole Program: Services Inquiry Form

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Carolina Refugee Resettlement Agency is pleased to welcome Ukrainians to the Charlotte metro area. Programming is currently being developed to address Ukrainians' unique needs. Please complete this inquiry form in order to be contacted by CRRA with recommended resources.

Email *

Name of primary contact:

Cell phone number:

Email address:

Names and ages of family members:

Current Address in Charlotte:

Arrival Date to the US:

YYYY

Status:

United for Ukraine

Ukrainian Humanitarian Parolee (UHP)

Temporary Protected Status

Other:

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Name of Sponsor, if applicable:

Type of Services you are interested in:

Employment

Driving

ESL

Medical Case Management

School Enrollment

Other:

Additional questions, comments, or concerns

Send me a copy of my responses.

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