Register for Workshops & Benefits
Complete form below to signup for the workshop. The address is very important.
Workshop Registration/Assistance - allow 2 days for response
*
Please Select
Cooking
Cuyahoga Community College Workshops
John Hay Students Only
Laundry -APPOINTMENT ONLY
Mobile Food Pantry
Rental Assistance
Utility Assistance
other
Name
*
First Name
Last Name
Were you ever in foster care
*
Yes
No
E-mail
*
example@example.com
Cell Phone
*
Format: (000) 000-0000.
Are you female?
*
Yes
No
Additional Assistance
*
Please Select
No needs at this time
Cooking Class
Food Pantry
Laundry Appointment
Utility Assistance
Rental Assistance
Other
How did you hear about the workshop?
School
Web Site
Friend/Colleague
Online Search
Already a member
Comment - Needs
Address (optional)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Click to Complete Registration
Should be Empty: