We need to help… We just HAVE to help!
It’s in our souls. Be the LIGHT that helps others see
Heaven-Sent Community Services and Veterans Outreach
Client Intake Form
Main line: (689) 204-1989 ext 101 – ask for Joe
Household and Contact Information
Needs and Veteran Status
ID Verification (staff use)
☐ Driver license provided
☐ Photo ID provided
☐ VA card provided
☐ ID verified by video or staff review
Applicant signature / date:
Staff quick email links:
Email Joe | Email Darrell | Email Tim | Email Teresa
Open email to send form link to client
Email Joe | Email Darrell | Email Tim | Email Teresa
Open email to send form link to client
Where Your Intake Form Goes Next
This intake form is the first step, not the whole story. After we collect this information, our team moves your case into the rooms and programs below so we can walk with you from crisis to stability.
- Client Casework Page: our main casework hub where your information is organized into a working case plan – open the Client Casework Page.
- Counseling & Support Programs: information about counseling, peer groups, and support options for veterans and families – view Counseling Programs.
- Clergy Chat & Prayer (Faith-Based): a quiet place for prayer, Scripture, and faith conversations when you want spiritual support – visit the Clergy Chat & Prayer page.
- Safe Harbor Residence Plan: our long-term housing and stability vision for veterans and families – read the Safe Harbor Residence Master Plan.
- Classroom & Training Room: where classes, workshops, and group trainings are coordinated – open the Classroom & Training Room.
- Strategic Plan & Success Metrics: how Heaven-Sent measures impact and sustains this work for the long haul – see the Strategic Plan with Success Metrics.
Heaven-Sent Veterans Assistance Contacts
If you need to reach someone directly while you are filling out this form, you can contact any member of our leadership team using the phone numbers and emails below.