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Community Resource Centre Intake Form
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Instructions
This form is an intake form for the Community Resource Centre (CRC). Its purpose is to support the CRC to help you with your concerns, needs, and feedback. Additionally, you can also call or email the CRC at 403-207-7079 or crcinfo@chestermere.ca.
First Name
*
Last Name
*
Email
*
Phone number
*
CRC Supports
*
Please select the supports you are interested in speaking to our CRC about.
Associations and organizations
Donations
Education and training
Employment and career resources
English classes
Financial literacy
Financial support
Food bank
General
Information for newcomers
Jacket Racket (winter jacket program)
Kids Up Front
Legal support
Medical services
Recreation activities
Recreation support for kids
School information
School supplies for kids
Taxes
Transportation
Volunteer opportunities
Other
Please include other items you would like to discuss with the CRC if it is not listed above.
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