Intake form

Help us serve you better

Name *

Email address *

What is your current housing situation?

What type of assistance are you seeking?

Please select at least one option.

Affordable housing

Workforce development programs

Utility cost reduction

Financial literacy resources

How did you hear about building roots foundation?

What is your household size?

What is your monthly income range?

Do you have any specific needs or preferences for housing?

Are you currently employed?

What skills or training do you possess?

Would you be interested in participating in workforce development programs?

What is your preferred method of communication?

Additional questions or comments

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Building Roots Foundation