LOOKING FOR HELP?

Welcome to Heart 2 Hand! Please complete this form if you are experiencing housing difficultites and have recently checked into a motel/hotel in New Castle County Delaware.

We will do our best to service you with the resources that we have available or through our partnerships with various organizations in the area.

Learn more about Focusing on Families, Inc. at www.focusingonfamilies.org
Family Intake & Consent
Full Name*

First NameLast Name
Birth Date*

MonthDayYear

How Can We Help You?
I am in need of the following:*

Laundry SuppliesToiletriesFeminine Hygiene ItemsCleaning SuppliesChildren's PajamasOther
If in need of pajamas, please list sizes.
If you are in need of daily clothing, please contact Pheonix Used Clothing at 302-487-5351.
Focusing on Families, Inc. does not provide money or vouchers for housing. I also understand I will be contacted by someone within 48 hours.*

I acknowledge
Do you have anything we can pray for?
Should be Empty:

FOCUSING ON FAMILIES,INC.