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Contact Us

  • Phone: (319) 266-1264
  • Email:
  • Mailing Address: 4807 University Ave, Suite 202
    Cedar Falls, IA 50613

Intake Form

Initial Application
Basic Information

Please complete the following information to begin the process of seeking assistance through Love INC's church network.

Love INC serves those who live in the Waterloo, Cedar Falls, and Evansdale zip codes.  

 

Once Love INC receives this initial form, a volunteer will contact you by phone to complete your request.  Due to our volume of intakes it may take up to seven days for a volunteer to contact you.

 

Love INC is not an emergency service.  We believe in taking time to hear your story and problem-solve with you.  Part of the Love INC process is the verification of information shared.  When contacted by Love INC, please be prepared to engage in the process.

 

Form submissions are sent over an SSL encrypted connection.

To be able to assist you, we must be able to contact you by phone.

If your phone is not reliable or if you have a secondary number we can reach you at, please provide a message number. To be able to assist you, we must be able to contact you by phone.

Where do you live? Please include street name, number, city, and zip code.

Have you ever contacted Love INC before?*

If you're a new client, how did you hear about Love INC?

Assistance Request

Please indicate what you are seeking assistance for.  There are no guarantees Love INC will be able to assist with your request(s).

Financial Request - We are out of funds for the month of June 2016

Love INC's financial assistance is limited to $100 per year per household if approved. All financial requests require verification.

Non-Financial Request

Almost Done!

The information provided in the following questions allows Love INC to better assist you with your request(s).

How do you get around?*

If approved, some Love INC assistance will require you to travel to an appointment within our Partner Church Network. If applicable, select more than one.

What is your housing situation?*

What is your employment situation*

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