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The COVID-19 Basic Needs Intake Form

The COVID-19 Basic Needs Intake Form

We understand that many families are experiencing financial hardship during the COVID-19 pandemic. We’re responding to this crisis by doing what we’ve done for over a decade: helping families close disparities. SJLI has established a Basic Needs Response Fund and may be able to provide direct financial support, access to services and/or referrals to providers. However, given the current crisis, our resources are limited and available on a first-come, first-serve basis. In cases where we are not able to provide direct support, we will do our best to connect you to service providers in the area. Please use the intake form below to be connected with a SJLI team member for relief support and guidance.
















  • This field is for validation purposes and should be left unchanged.

Also remember to use the COVID-19 Screening Tool if you or someone you are caring for may be experiencing symptoms. You can also download the COVID-19 Screening Tool via Apple Store or Google Play.