Apply for Assistance

This application is simply to get in touch with our caseworkers. If you do not get a response within a few hours, please call us at 724-992-3193. Either way, we will get in touch with you and ask you to fill out a more complete application for assistance. We value your privacy and will keep all information confidential.

First Name (required)

Last Name (required)

Your Phone Number (required)
We will call you first, then try to use e-mail to reach you. Please include area code and write in this format: 555-555-5555

Your Email

Do you Live within the Grove City Area School District? According to our by-laws, we are only able to help those who reside in Pennsylvania and who live within the Grove City Area School District. (Please Check the Map if you are unsure)

 Yes No

Please describe in detail how you require assistance.

This quiz enables us to keep computer programs from spamming our inbox
5+3=? 

Check our our database of Community Resources for additional ways to get help.

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