Community Resource Connections -- Service Providers: March 6, 2020 9:00-3:00
Community Resource Connections
*Formerly known as Project Homeless Connect
Event Address:
308 E. 4th Street
Verne Burton Community Center
Port Angeles, Washington
For more information pertaining to being a service provider for this event, contact Tiffany at: phc.event.providers@gmail.com OR tmckellard@peninsulapha.org

Name of Service Providers & the Organization Providing Services *
Category of Service being Provided (Check no more than three) *
Required
Work Phone/Cell Phone *
Email *
Work Address - this information will only be used to send you our gratitude
Has the organization you are connected to attended before? *
Your Needs for your Direct Service Area:
We will do our best to accommodate your needs, but cannot guarantee that all requests will be met.
Will you be able to provide services all day? *
Required
Do you have any special setup needs to be able to provide services? *
Do you have an interactive activity? *
Do you need access to a power source? *
Are there confidentiality requirements to your services? *
If yes to any of the set-up questions, please explain.
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