Tell Us About Your Outreach Programs and Ministries
Please complete a separate form for each outreach program or ministry. Responses may be included in the online directory of programs and services at sacrd.org.
Who is completing this form?
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Organization name:
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The name of the congregation or other organization that is providing the service
Outreach Program/Ministry Name
*
Please complete a separate form for each program
Describe the Program/Ministry
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Address where program/ministry is offered
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Hours Operated
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Days and hours program is available.
Website
Primary contact for the outreach program or ministry
*
Describe any eligibility requirements for potential clients
Describe any client fees
Free, charge per visit, etc
Is this program permanent or temporary?
Permanent
Temporary
When will the program end?
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Month
-
Day
Year
Date
Help us categorize your outreach program
Refer to openeligibility.org for guidance.
Choose the CARE needs the program serves (choose all that apply).
Bathrooms
Bereavement & Grief
Child Care
Disaster Response
End of Life
Haircuts
Health Screenings
Help Escape Violence
Help Navigating the System
Home Visits
Marriage Counseling
Medical Care
Parenting Classes
Prisoners/Re-entry
PTSD Support
Senior Programs
Showers
Support Network
Tattoo Removal
Veteran Services
Weather Relief
Other
Choose the EDUCATION needs the program serves (choose all that apply).
Basic Literacy
Children's Programs
Citizenship & Immigration
Computer Skills
English as a Second Language
Financial Education
GED/High-School Equivalency
Help Pay For School
Home Buyer Education
Life Skills
Nutrition Education
Parenting Classes
Preschool
Relationship Building
Skills & Training
Stewardship
Supplies for School
Tutoring
Youth Programs
Other
Choose the FOOD needs the program serves (choose all that apply).
Community Gardens
Emergency Food
Food Delivery
Food Pantry
Free Meals
Help Pay for Food
Nutrition Education
Pet Food and Supplies
Other
Choose the GOODS the program helps with (choose all that apply).
Baby Supplies
Blankets
Clothing
Fans
Furniture
Laundry Services
Personal Care Items
Other
Choose the HEALTH needs the program serves (choose all that apply).
Addiction & Recovery
Alcoholics Anonymous
Anger Management
Bereavement & Grief
Counseling
Dental Care
Exercise & Fitness
Health Education
Health Insurance Selection
Health Screenings
Hearing Tests
Maternity Care
Medical Supplies
Mental Health Care
Narcotics Anonymous
Nutrition Education
Personal Care Items
Pregnancy Services
Sober Living
Spiritual Care
Vaccinations
Vision Care
Other
Choose the HOUSING needs the program serves (choose all that apply).
Assisted Living
Emergency Shelter
Help Find Housing
Help Pay for Housing
Help Pay for Utilities
Homebuyer Education
Home Repairs
Kennel
Permanent Supportive Housing
Residential Housing
Sober Living
Temporary Shelter
Weather Relief
Other
Choose the LEGAL needs the program serves (choose all that apply).
Adoption & Foster Care
Advocacy & Legal Aid
Citizenship & Immigration
Identification Recovery
Tax Preparation
Translation & Interpretation
Other
Choose the TRANSIT needs the program serves (choose all that apply).
Bus Tickets
Help Pay for Transit
Transportation Assistance
Other
Choose the WORK needs the program serves (choose all that apply).
Career Planning
Help Find Work
Interview Training
Resume Development
Skills & Training
Tattoo Removal
Volunteer Opportunities
Other
Does the program offer PARTNERSHIP opportunities to other organizations (choose all that apply)?
Program Mentoring
Program Sponsorship
Volunteer Opportunities
Other
Submit
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