COMPASS Short Survey
Questions marked with a * are required
To apply you must be employed or able to provide documentation of employment within the past 6 months.
The average amount given in financial assistance is $250 or less. 
If you are facing eviction or disconnection within the next 48 hours, unfortunately, we will not be able to assist you.
How much is needed for Gas?
How much is needed for Electricity
How much is needed for Water?
How much is needed for Rent?
Contact Information
Tell us how we can help?
Tell us your story?  What happened that caused you to need assistance
How did you hear about COMPASS?  Select all that apply.
Office Use Only Below.  Please complete the survey by clicking "NEXT" button.
Choose one
Date and time of call
Response