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Cornerstone NCT Assistance Request
PLEASE NOTE: our current service area includes: Prosper, Celina, Gunter, Frisco, Mckinney (West of I-75), Little Elm, and Aubrey (East of 377).
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Will you need a translator?
Please Select
YES
NO
What language do you need translated?
ex: you need someone who speaks Spanish/Russian/Arabic, etc.
Physical Address (cannot be a P.O. Box)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you previously participated in any Cornerstone program(s)?
*
YES
NO
HOW CAN WE ASSIST? *NOTE: We do NOT assist with rent, car or medical expenses. Please review what utilities we are currently assisting with and the requirements of our program on our website*
*
0/300
Submission of this form does not guarantee assistance. You may be contacted for additional information to determine your eligibility for assistance.
Action taken in system
Denied
Other
Duplicate
Submit
Should be Empty: