Skip to content

Are you a community member looking for food, housing, transportation, peer support, or other services? Fill out the secure form below.

Once completed, our team of Care Coordinators will contact you within two business days. This is a team of individuals with social service backgrounds and/or lived experience navigating the social service landscape, who are trained and equipped to provide personalized and linguistically appropriate services to all clients. 

The information you enter is completely confidential and there is no cost for this service. All services are funded through the Kansas Department for Children and Families’ SPARK Grant.

Please use this form only to request services for yourself or a child (under 18 years old) or adult for whom you have legal guardianship. Consent submitted through this form should be signed by the person who would be receiving services or by their parent or legal guardian only.

Learn more about how we protect your information at https://uniteus.com/protect/.

Filling out this form means you’re asking to be connected to services in your area. Once completed, a staff member will contact you within two business days. The information you enter is completely confidential and there is no cost for this service.

Please use this form only to request services for yourself or a child (under 18 years old) or adult for whom you have legal guardianship. Consent submitted through this form should be signed by the person who would be receiving services or by their parent or legal guardian only.

Learn more about how we protect your information at https://uniteus.com/protect/.