Lehigh Valley HOPE Intake Form

Please complete this form to apply for aid. Your information will be kept confidential. Your submission will be confirmed by a Lehigh Valley HOPE Coordinator.


We do not claim to have all items requested and we have the right to refuse and/or limit amounts. Our inventory is from donated items and varies.
Please choose up to 3 preferred times. Appointments aren't guaranteed until confirmed by a Lehigh Valley HOPE Coordinator. 30 minute visits, Tuesdays from 10am-2pm.
Contact Us

You can send us an email and we'll get back to you, asap.

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