GET INVOLVED / GENERAL INTAKE FORM

How Can We Help You Today?

Accessing our housing, workforce, and wellness programs starts here. Fill out this simple 3-minute form, and a team member will reach out to guide you through the next steps.

THE FORM

Start Your Request

Tell us about your needs or what you are interested in so we can connect you with the right coordinator.

First Name *

Last Name *

Email Address *

Phone Number

What is your primary focus?

Areas of Interest (Select All That Apply)

Home Preservation & Repairs Digital Skills & Tech Classes Food Security & Pantry Days Youth Development Programs Volunteer Ground Crew Park Events & Festivals

Tell us more about how we can help (Optional)

THE PROCESS

Our Commitment to You

We are committed to clear communication and respectful support every step of the way.

Confirmation

You will receive an immediate confirmation that we have received your request.

Review

A Bailey Park NDC coordinator will review your information to match you with the right program.

The Call

A team member will contact you via your preferred method within 5 business days to discuss next steps.

Need Immediate Assistance?

You can also reach our staff directly at 877-224-5390 or visit The Hub Monday through Thursday.

TRUST & SECURITY

How We Protect Your Information

Your information is safe with us. Bailey Park NDC uses the data collected in this form solely to determine program eligibility and coordinate direct support for you. We do not sell or share your personal information with third parties without your explicit consent.

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