Community Resources/ Recursos Comunitarios

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Please fill out the following information if requesting help with community resources. We offer resources for food baskets, clothing referrals and more.

Complete la siguiente información si solicita ayuda con los recursos comunitarios. Ofrecemos recursos para canastas de alimentos, referencias de ropa y más

Email *

First and Last name/ Nombre y apellido: *

Contact number/numero de contacto: *

Name of student(s)/ Nombre de estudiante: *

What services are you requesting? Qué servicios está necesitando? *

Food basket referral/ Canasta de comida

Clothing referral/ Ayuda con ropa

Other:

Monthly Income/ Ingreso mensual: *

Names and ages of all adults and children who live in the home/ Nombres y edades de todos los adultos y niños que viven en el hogar: *

Briefly describe family situation or why you are in current need of resources/ Describa brevemente la situación familiar o por qué necesita recursos actualmente: *

Name of employer/ Nombre de empleado: *

Primary language spoken/ Idioma principal hablado: *

A copy of your responses will be emailed to the address you provided.

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