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Community Resource Request Intake Form - Free Nonprofit Template | ZenBuild | ZenBuild

Templates→Nonprofit→Community Resource Request Intake Form

Community Resource Request Intake Form

Allow community members to request resources such as food, clothing, housing referrals, or financial assistance.

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Community Resource Request Intake Form

Allow community members to request resources such as food, clothing, housing referrals, or financial assistance.

Full Name*

Phone Number*

City and ZIP Code*

Type of Assistance Needed*

Please describe your situation and what you need*

Number of People in Household*

How did you hear about us?

Is this an emergency situation?*

YesNo

Any additional information

Template Details

CategoryNonprofit

Fields9

Uses0

Views1

communityresourcesassistanceintake