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Never Miss a Chance to Do the Most Good

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Emergency Assistance Application

Everyone seeking assistance for rent, utilities, prescriptions, and transportation will need to complete an online application. Those visiting the food pantry or in need of temporary emergency lodging will not need to use the online application and can register during normal food pantry and social service office hours.

Please complete each section, pressing the Next Page button to go to the next page. When you have completed all sections, press the Submit button. You will receive a confirmation prompt indicating that your assistance application has been submitted for review and consideration. In order to proceed to the next page, you will need to complete all required fields. If a required field is not complete, you will be prompted to correct it in order to proceed.

Completion of this application does not guarantee financial or material assistance, but we will contact you by phone or e-mail to schedule an appointment to meet with you one-on-one.