NC Impact Resource Network - Member Directory Form

NC Impact Resource Network - Member Directory Form

Help us build a verified statewide directory of resources, providers, and community partners across North Carolina.
Name

First NameLast Name
Email
For important updates, statewide resources & community alerts.
Phone Number
Optional, but helpful for resource follow-up.Format: (000) 000-0000.
County You Serve or Live In
Are you joining as:

Individual looking for resourcesCase Manager / Care CoordinatorSocial WorkerNonprofit / Community OrganizationChurch / Faith-Based LeaderHousing ProviderHome Care AgencyBehavioral Health ProviderTransportation ProviderEducator / Workforce DevelopmentBusiness OwnerCommunity MemberYouth ProgramSchool/CollegeOther
Organization/Agency Name
If applicable
Area(s) of Support You Provide? (Select all that apply)

HousingFood resourcesEmploymentTrainings/certificationsMental HealthRe-entryYouth programsTransportationHomeless supportVeteran supportFaith-basedSenior servicesCrisis or emergency resourcesCommunity eventsOther
Please list at least one verified resource you know in your county.
Example: address, contact number, website, eligibility, etc.
How did you hear about the NC Impact Resource Network?

FacebookA case managerA friendAdminWalk-In WednesdayImpact Home Care & Behavioral HealthOther
Do you give us permission to send you statewide resources, updates, and alerts?

YesNo
Do you agree to follow the group rules and only share verified resources?

YesNo
Would you like to be listed in the NC Resource Directory when it's published?

YesNo
How would you like to help strengthen NC's statewide resource network?
Examples: sharing resources, referring families, providing trainings, etc.
Upload a Flyer or Resource to Share

Cancelof
Should be Empty: