Community Care Collaborative Funds are only available for residents of Pasquotank, Camden, Perquimans, or Gates Counties. This program works to help families experiencing a temporary crisis or hardship and are paid directly to a vendor. 

Please complete all information in order to best assist you and connect you with resources.
Phone Type
Gender
Race/Ethnicity
Family Status
Do you live alone?
Do you have any handicaps or special needs?
Have you worked with any of the following Social Services
Check all programs you receive assistance from
Are you a veteran?
Employment Status
Payment frequency
Is anyone else in the home employed?
Have you received assistance from other agencies in the last 6 months for the same request?

Thanks for submitting!