Intake form

Help us serve you better

Name *

Email address *

What services are you interested in?

Please select at least one option.

Transitional housing

Vocational training

Cultural healing

Legal support

Food security initiatives

Do you identify as native hawaiian?

What is your current living situation?

Are you seeking employment?

What skills do you possess?

What are your goals for the future?

How did you hear about us?

Additional questions or comments

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HI CITY PROPHETS: KA HALE.