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Resource Connection

How it Works

Step
1

Fill out and

submit the form below

Step
2

Our system finds the best services based on eligibility and availability.

Step
3

Get connected directly to the right resource or organization in less than 24 hours.

Resource Matching Request Form

Urgency Level *

Emergency (need help within 24 hrs)

Urgent (within 3 days)

Planning ahead (no immediate crisis)

For life-threatening emergencies, call 911 or Idaho Crisis Hotline: 988.

Personal Information

First name*

Last name*

Phone

Preferred Method of Contact*

Call

Text

Social Media Messaging

Zip Code*

Household Information

Number of Adults in Household

Individuals over the age of 18

Number of Children in Household

Individuals under the age of 18

Housing Situation

Assistance Requested

check all that apply

Multi choice

Food Assistance

Housing / Shelter Assistance

Childcare Assistance

Transportation

Medical or Healthcare

Mental Health/Counseling

Employment Assistance

Financial Assistance (e.g., rent, utilities, emergency)

Domestic Violence Support

Legal Assistance

Other (please specify)

Eligibility Information (this helps match resources)

Income Range (approximate monthly income, if comfortable sharing)

Employment Status

employed

unemployed

retired

student

Are you currently receiving any assistance (Medicaid, SNAP, SSI, etc.)? (Please specify)

Specific Needs and Preferences

Briefly describe your current needs or situation (optional but helps us match accurately)

Any specific resources or organizations you are interested in?

Consent and Submission

Consent & Submission:

I understand that ResourceLink Idaho will use this information solely to connect me with community resources and services I qualify for.

I consent to ResourceLink Idaho sharing my information with relevant community organizations to facilitate referrals.

Signature*

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Disclaimer

ResourceLink Idaho is a registered 501(c)(3) nonprofit organization. EIN: 33-3977147
All donations are tax-deductible as allowed by law.

Email*

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