Organization Intake

Required fields are marked with an asterisk (*).

Organization Name

Contact Person

Email Address

Phone Number

Describe your services, resources, or program

Program Capacity (How many can you serve)

Check all services, resources & programs that apply

Youth programs & Mentorship

After-school Summer Program Tutoring Mentoring Sports/Recreation Job Readiness

Family Support & Counseling

Counseling Parenting Classes Housing Assistance Food Assistance Financial Literacy

Elder Care & Services

Senior Meals Companionship Health & Wellness Transportation Advocacy

Community Safety & Violence Intervention

Conflict Mediation Street Outreach Reentry Support Victim Services Policing Advocacy

Education & Workforce Development

GED / Adult Ed Job Training College Prep Entrepreneurship Financial Literacy

Arts, Culture & Recreation

Days & Hours of Operation

Time Open:

To:

Best days & times to meet and explore next steps

Best Time:

To:

Every organization hosts a booth. Families come to register their students for complete programs based on their needs.

Yes No Maybe / Need more info

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