Church Name
Church Address
First Name
Last Name
Your role at your church
Church Denomination
Church Size 0-50 51-100 101-500 500+
Your email address
Your phone
What are your church's affinity areas for service? Addiction RecoveryChildren & YouthChronically IllCommunities in NeedElderlyFormerly IncarceratedHomelessImmigrantsPeople with DisabilitiesWomen
Why is your church interested in partnering with Hope for New York? (1-3 sentences)
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