Needs Assessment

If you need assistance, please complete our needs assessment Form. This will help us understand how we can best support you.

First Name*

Last Name*

Email*

Phone*

Message Options*

What services do you need?

Medical/Dental Insurance

Primary Care Physician

Medication Access/Management

Food Insecurity

Housing

Clothing

Assistance with Utilities

Transportation or Driver's License

Education

Financial Education

Birth Certificate/Social Security Card

Domestic Violence Aid/Shelter

Child Support

Childcare

Baby/Children Supplies

Parenting/Social Support

Employment/Trade Training

Drug Treatment or Groups

Alcohol Treatment or Groups

Legal Help (record, eviction, justice involved, etc.)

Counseling/Trauma Healing

Self-Help/Support Groups

Building Healthy Relationships

Chronic Condition

Other

Witness or Involved in...

Community Trauma (shooting, suicide, overdose, assault, police violence, etc.)

Gang Violence

Sudden Death of Family/Friend

Domestic Abuse

ABOUT US

CONTACT US

Stark Community Support Network (SCSN) is a registered 501(c)(3) nonprofit dedicated to improving the lives of individuals in need or crisis. SCSN provides relevant assistance and programming that empowers underserved community members and their families

1221 Harrisburg Rd. NE Canton, Ohio 44705

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