A Hand Up Referral Form

For any and all questions, please reach out to our team at volunteer@journeyhomect.org


***Please note, our AHU Coordinator is currently out of the office. She will review and respond to all furniture requests the week of July 14.***

 
 
 
 
 
Phone
 
Phone
 
 
 
 
 
 
 
 
 
 
 

Please do not submit a furniture request until a client has moved in and the unit has passed inspection.

 
 
mm/dd/yyyy
 
 
 

Please format the phone number as XXX-XXX-XXXX Ext. XXX (ex. 123-456-7890 Ext. 321)

 
 
 
 
 
 
 
 

Note: We can only provide 1 per person

 
 
 
 
 
 
 
 
 
 

Each set includes 4 dishes, glasses, bowls, etc.)