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Home
About
AMHH Board
Documents and Forms
Programs/Services
Donate
Special Events
Get Involved
Support Group Registration
Members
Intake Questions
*
Indicates required field
Name
*
First
Last
Email
*
Do you have any expectations of the program? If so waht are they?
*
I hope to achieve the following goals within the next year
*
What do you think would help you acieve these goals?
*
Please provide your email used for FACEBOOK so we can send an invite to our private community
*
I understant that in order to receive assistance from any of the programs offered by AMHH, I must meet the following requirements
*
Be living a single lifestyle with no significant other in the home
Live in Lee County
Have children under 18 at home
Must attend at least 2 support group meetings per quarter
By typing your name below, you agree to the above requirements
*
Submit
Home
About
AMHH Board
Documents and Forms
Programs/Services
Donate
Special Events
Get Involved
Support Group Registration
Members