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Intake Form

Thank you for visiting! Please take a moment to fill out this form so we can direct you to the most appropriate resources or support.

Step 1: Fill out intake form

Step 2: Attend open office hours to meet with staff

Step 3: Schedule a one-on-one meeting

What is your organization type? (Please check one)
Business
Municipality (City, Town, Local Government)
Nonprofit
Other
What are you seeking assistance with? (Please check all that apply)

To discuss these services, please visit during our open office hours, held every Tuesday from 10 AM to 3 PM at our office at 235 W Main Street, Monongahela.

Preferred method of communication/contact
What hours work best for you?
How did you hear about us? (Please check one)
Referral (Friend, Colleague, etc.)
Online (Website, Social Media)
Flyer/Brochure
Event (Conference, Workshop, etc.)
Other

The next step after you submit this intake is to attend our Open Office Hours. These are held every Tuesday from 10 AM to 3 PM at the BRC, located at 235 W main Street, Monongahela. We look forward to seeing you there!

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