The information you enter is completely confidential and will only be shared in order to connect you to services. Filling out this form means you’re asking to be connected to services in your area. Once completed, a staff member will contact you within two business days.
The information you enter is completely confidential and there is no cost for this service.
Please use this form only to request services for yourself or a child (under 18 years old) or adult for whom you have legal guardianship. Consent submitted through this form should be signed by the person who would be receiving services or by their parent or legal guardian only.
Learn more about how we protect your information at https://uniteus.com/protect/.
A nonprofit is as strong as the community that holds it up. Together, we can do more than we can do alone. Let's bring our abilities and passions together to affect real change.
There are many ways to join us and support our mission. Contact us to find out more about volunteer opportunities, fundraising events, and ways that you can get our message to your friends and family.
Learn more about our upcoming events, fundraisers, and more!