Phone Intake
260 – 407 – 0917
Monday – Friday
9 a.m. – 4 p.m.
When calling our intake line, please listen to all of the options on our menu and press the number that relates to the type of assistance you need.
Online Intake
Please fill out the correct form below completely. One of our intake specialists will contact you following your submission to advise whether you have been approved for the program or not and may collect more information needed at that time.