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Family Application

Instructions
Please fill out all the fields in order for your application to be considered for membership. Incomplete applications will not be approved. Please note that we primarily use email communication, so you must have a valid and current email address in order to participate.

Birch Community Services does not discriminate in any of its activities or operations on the basis of race, color, religion, gender, sexual orientation, national origin, disability, marital status or any other legally protected classification.

 

Please Answer Each Question

Reference 1 (Personal):

Reference 2 (Professional/Non-Family Member):

Emergency Food Resources

Snow Cap
17805 SE Stark
Portland, OR
503-674-8785

Portland Adventist
Community Services (PACS)

11020 NE Halsey
Portland, OR
503-22-8500

Oregon Food Bank
(Call for food assistance in your particular area)
503-252-05555

Sunshine Division
(For emergency food box)
503-823-2119

211 can provide free guidance and
information about family resources

Dial 211
Text the keyword children to 898211
Email children@211info.org
Visit 211info.org

<  Back to Applications

Agency Application

Instructions
Please fill out all the fields in order for your application to be considered for membership. Incomplete applications will not be approved.

Other Resources

Snow Cap
17805 SE Stark
Portland, OR
503-674-8785

Portland Adventist
Community Services (PACS)

11020 NE Halsey
Portland, OR
503-22-8500

Oregon Food Bank
(Call for food assistance in your particular area)
503-252-05555

Sunshine Division
(For emergency food box)
503-823-2119

211 can provide free guidance and
information about family resources

Dial 211
Text the keyword children to 898211
Email children@211info.org
Visit 211info.org

Are you looking to apply as a family for the Sustainable Families Program or to apply as an agency?

In-Kind Donations: (503) 251-8860 // Warehouse: (503) 251-5431 // info@birchcommunityservices.org
No unscheduled walk-ins due to COVID-19