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Form

Family Profile Form

Please complete the Family Profile form below:

Family Profile Form

Gender
Ethnicity - Hispanic?
Marital Status
Housing
Monthly Income (check all that apply) Required
Characteristics Required
Family Type Required
Education (Highest Level Completed) Required
I am interested in the following: Required
I am interested in digital assistance with: Required
I am interested in attending an outreach assistance event in my county. Required

I am interested in attending an outreach assistance event in my county.

Note: This event provides hands-on assistance with completing applications for Weatherization, Fortified Roof, Healthy Homes, and Delinquent Rental/Mortgage Assistance programs.

Thanks for submitting!

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Copyright © CSP of West Alabama.
All rights reserved.

Our Mission

Community Service Programs of West Alabama is a non-profit organization that works to empower low-income and vulnerable populations by providing resources and services that resolve immediate needs and lead to long-term self-sufficiency.

Contact Us

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Quick Links
CSP Administration Address

601 Black Bears Way

Tuscaloosa, AL 35401

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