PLEASE KNOW THAT ALL OF YOUR PERSONAL INFORMATION IS CONFIDENTIAL!

Families or individuals seeking assistance should complete
our New Client Application.

You may:    download the application below and email it to our office

(Email: [email protected])

drop the application in our New Application Box by the front door of our building,

or mail it to: 2850 W 11 Mile Road, Berkley, MI 48072

If you have questions about the application, please contact our office at (248) 548-3663 or [email protected].

Online Application Downloadable PDF Application

Additionally, we offer referrals to other agencies (Jewish and secular).  Call (248) 548-3663 for more information.