Request an appointment

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Request an appointment - ACC

Please complete this form if you are an individual or a family in the Denver, Colorado area that has humanitarian parolee status from Afghanistan, Ukraine, Cuba, or Haiti. Once you complete this form, our staff will reach out to schedule an appointment at our office to review your eligibility and explain available services.

ACC (the African Community Center) is a refugee resettlement agency.

I am a humanitarian parolee from.... *

Afghanistan

Ukraine

Cuba

Haiti

Other:

First and Last Name *

There are ______ people in my family. *

My phone number is .... (include Whatsapp if you do not have a U.S. phone number, please.) *

My email address is ....

I am currently living in this area around Denver: *

city of Denver

city of Aurora

city of Lakewood

city of Westminster

city of Thornton/ Northglenn

city of Centennial

city of Parker

Other:

Anything else you'd like to share with our staff?

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