Dear Faith, Hope, & Love Client,
Please complete this form
to request an appointment.
We are not currently accepting walk-ins. Once submitted, someone from our office will be contacting you shortly.
Please see important information below before you start application
FOR YOUR FIRST VISIT
Please bring the following to your appointment:
A valid photo ID
Completed intake paperwork (if you did not complete the Family Assessment Form Online)
(If employed,) Verification of employment with the 'two' most recent check stubs
(If disabled,) Verification of disability paperwork
(If applied for disability,) Verification of disability application/paperwork
(Housing,) A current rental agreement that MUST have the landlord's phone number and mailing address. If it does not, we cannot assist you until this information has been received.
(Utilities,) The most recent bill/disconnect notice. It MUST be in your name, and the address on photo ID must match that listed on the bill.
Thank you for your cooperation!
Please call 575-941-2022, or e-mail us at
firstname.lastname@example.org with any questions.