Join LACFAPlace of WorshipThank you for your interest in joining LACFA. This form is designed to collect your general information and will take less than 3 minutes to complete. Name * First Name Last Name Position Title * Email * Phone * (###) ### #### Place of Worship Name * Which religion(s) does your place of worship practice? * Bahá'í Faith Buddism Christianity Hinduism Islam Judaism Sikhism Other Organization Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What area(s) does your place of worship serve? (i.e. San Fernando Valley) * Do you have EXISTING programs/ministries that focus on the following areas? (check all that apply) Child Welfare (foster care, etc.) Criminal Justice Reform/Incarceration Crisis Intervention (domestic violence, emergency care, goods distribution, etc.) Education (schools, pre-schools, classes, awareness campaigns, etc.) Homeless Services Human Trafficking/Exploitation Immigrant Services Medical/Health Services (clinics, crisis pregnancy, etc.) Mental Health (counseling, therapy, recovery, etc.) Poverty Alleviation Provide Space (for other programs/organizations) Services (housing, rehab, legal aid, etc.) Is there anything else you want to share about your programs/departments/ministries? Are you interested in BUILDING A NEW PROGRAM/MINISTRY that focuses on any of the following areas? (check all that apply) Child Welfare (foster care, etc.) Criminal Justice Reform/Incarceration Crisis Intervention (domestic violence, emergency care, goods distribution, etc.) Education (schools, pre-schools, classes, awareness campaigns, etc.) Homeless Services Human Trafficking/Exploitation Immigrant Services Medical/Health Services (clinics, crisis pregnancy, etc.) Mental Health (counseling, therapy, recovery, etc.) Poverty Alleviation Provide Space (for other programs/organizations) Services (housing, rehab, legal aid, etc.) Thank you!
