CDOM - CROSSOVER OUTREACH

Refer Client to Crossover Outreach

Client Information

First Name
Last Name
Phone Number
Birthdate:
Email
Address:
City:
State:
Zipcode:
Gender:
Ethnicity:

Race:
No. of people in the household:
No. of adults:
No. of children:
Which program do you participate in:

Need help with: (must check atleast one)

Food:
Clothing:
Household:

Agent Information

Referral Agency:
Agents Name:
Agents phone number:
Agents email:
Comments:

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Crossover Outreach
414 W. Court Street
Flint, MI 48503
Phone: 810-234-2479
Email: [email protected]

*donations are accepted TUESday through Friday from 9am - 3pm

*daily services are available Tuesday through friday from 10am - 2:30pm

*closed mondays

Crossover Outreach

People like you are changing Flint & Genesee County! Sign up to see our work in action!

Crossover outreach is an equal opportunity provider

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