CFR ASSISTANCE REQUEST

 

Are you homeless or nearly homeless and in need of assistance? If you meet the following criteria, we may be able to help!

 

1. DO YOU LIVE IN COBB COUNTY? HAVE YOU BEEN A COBB COUNTY RESIDENT FOR AT LEAST THE PAST TWO MONTHS?
2. DO YOU HAVE ONE OR MORE MINOR CHILDREN IN YOUR HOUSEHOLD? (UNDER AGE 18)

 

If you answered yes to these questions, we may be able to help you with housing. Even if you don't qualify for our housing programs, we may be able to help with groceries or other expenses.

 

Please contact us through the form below and provide a brief description of your needs. One of our case managers will get back to you as soon as possible.

 





Name*

Email*

Telephone*

Are You A Cobb County Resident?*
YesNo

Current Living Situation*
RenterHomeownerHomelessIn a shelterOther, please explain:

Other

Street Address

City, State

Zip Code

Other

Adults in Household*
12345+

Children in Household*
012345+

Monthly Income
$

Sources of Income
(Hold CTRL to select all that apply)

Other

Assistance Requested*
(Hold CTRL to select all that apply)

Other

Please Tell Us More About Your Situation*

 

The Center for Family Resources is a proud community partner of the following organizations: