Community Resource Connection Form

Community Resource Connection Form

Use this form to share a resource that others may benefit from or to sign up as a community resource yourself (individual or organization).
I would like to:*

Share a community resourceBecome a community resource partnerBoth
If You Are Sharing a Community Resource

(Complete this section only if applicable)
Resource Name:
Type of Resource:

Food or Meal AssistanceHousing or ShelterHealthcare or Mental Health ServicesSupport GroupsLegal AssistanceEmployment or Workforce TrainingFinancial AssistanceTransportationYouth or Family ServicesElder CareLGBTQ+ SupportGrief & Bereavement SupportCommunity Events / ProgramsOther
Resource Description:
Website or Contact Information:
If You Want to Become a Community Resource Partner

(Individual, business, organization, or practitioner)
Your Name:

First NameLast Name
Organization Name:
Contact Person (If Different):

First NameLast Name
Contact Person Email
example@example.com
Contact Person Phone Number
Please enter a valid phone number.
Type of Support You Can Offer:

Professional Service (Mental health, medical, legal, etc.)Tangible Support (Meals, supplies, transportation, etc.)Space / Venue AccessVolunteer SupportEducational Workshops / TrainingsPeer Support or MentorshipDonations or Funding
Brief Description of How You Hope to Partner:
Additional Notes or Information
Please tell us anything you think would be helpful to know.
Should be Empty:

If You Are Sharing a Community Resource