2. Please Select the Personnel You Would like to Contact

   1. Heidi Porter - Director of Health and Human Services
   2. Carla Olson - Food Bank Manager
   3. Christopher Bang - Community Social Worker
   4. Mallory Fuller - Youth Services Coordinator
   5. Ainsley Kyllingstad - Outpaitent Therapist
   6. Marie Walton - Food Bank Assistant
   7. Sandra Byington - Food Bank Volunteer & Client Engagement Assistant
   8. Diane Harris - Food Bank Transportation Assistant
4. Your Name*
6. Age of the person needing assistance?*
   -- Select One --Under 1819-5960 and over
8. Your Email Address*
9. Phone Number
11. Subject*
13. Message*
15. Area(s) of need

    Please Select all that apply

    1. Mental Health Services
    2. Food Bank
    3. Food Insecurity
    4. Housing
    5. Utilities
    6. Volunteer Opportunities
    7. Substance Use Services
    8. Domestic Violence Services
    9. Other Need
    10. Youth and Family Programs
    11. Outpatient Counseling Referrals
17. Attachment
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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