CLIENT NAME/ID: CASE MANAGER: SSVF COMMUNITY RESOURCE REFERRAL CHECKLIST FOOD/EMERGENCY FOOD CHILDCARE SUBSTANCE ABUSE Abbott Loop Church Campfire Akeela □ □ □ Bean’s Café Thread Veteran’s Affairs □ □ □ Crisis Center Cares for Kids Clitheroe □ □ □ Eagle River Food Pantry Childcare Connection Ernie Turner □ □ □ FISH Boys and Girls Club Genesis Recovery □ □ □ Food Bank (referrals) Head Start/Kid’s Corp Intervention Helpline □ □ □ Food Shelf SCF Head start Center for Drug Problems □ □ □ Food Stamps Providence Breakthrough □ □ Kid’s Kitchen Reflections □ □ Lutheran Social Services RITE, Inc. □ □ St. Francis house Starting Point □ □ Salvation Army Stepping Stones □ □ SHELTER/EMERGENCY FINANCIAL ASSISTANCE EDUCATION Abbott Loop Church ATAP University of Alaska □ □ □ Anchorage Rescue Mission Human Services Safety links Charter College □ □ □ AWAIC American Red Cross AVTEC □ □ □ Beyond Shelter Child Care Assistance Alaska Pacific University □ □ □ Booth Home State Heating Assistance Anchorage School District □ □ □ Brother Francis Energy Assistance Alaska Career College □ □ □ Clare House Weatherization Assistance Alaska Construction Academy □ □ □ McKinnell House □ Passage House □ EMPLOYMENT HEALTH CARE INFO/SUPPORT COUNSELING Access Alaska State of Alaska Job Centers Veteran’s Administration □ □ □ Alaska Info Line Anchorage Labor Ready AK Baptist Family Services □ □ □ AK Native Medical Center Army Community Service Alaska Counseling Services □ □ □ Alzheimer’s Association Alyeska Vocational Services Alcoholics Anon □ □ □ American Cancer Society Vets helping Vets ACMHS □ □ □ Anchorage Neighborhood Health Cntr. ACMHS Community Driven Services AWAIC □ □ □ Anchorage Project Access U.S. Department of Veterans Four A’s □ □ □ Municipality Public Health Work Therapy Program Reflections □ □ Baby Connection MASST/Nine Star Victims for Justice □ □ □ Providence Family Practice central Foundation □ □ Alaska Regional Hospital □ Matsu Regional Medical Center □ RURAL CAP □ UAA Dental Hygiene □ Alaska Tobacco Quit Line □ CLOTHING/HOUSEHOLD TRANSPORTATION MATSU REGION Abbott Loop Church Lutheran Social Services □ □ Bishop’s Attic Cook Inlet Tribal Council □ □ Value Village People □ □ Salvation Army AnchorRide □ □ Crisis Pregnancy Center □
CLIENT NAME/ID: CASE MANAGER: SSVF COMMUNITY RESOURCE REFERRAL CHECKLIST FOOD/EMERGENCY FOOD □ Abbott Loop Church □ Bean’s Café □ Crisis Center □ Eagle River Food Pantry □ FISH □ Food Bank (referrals) □ Food Shelf □ Food Stamps □ Kid’s Kitchen □ Lutheran Social Services □ St. Francis house □ Salvation Army CHILDCARE □ Campfire □ Thread □ Cares for Kids □ Childcare Connection □ Boys and Girls Club □ Head Start/Kid’s Corp □ SCF Head start SUBSTANCE ABUSE □ Akeela □ Veteran’s Affairs □ Clitheroe □ Ernie Turner □ Genesis Recovery □ Intervention Helpline □ Center for Drug Problems □ Providence Breakthrough □ Reflections □ RITE, Inc. □ Starting Point □ Stepping Stones SHELTER/EMERGENCY □ Abbott Loop Church □ Anchorage Rescue Mission □ AWAIC □ Beyond Shelter □ Booth Home □ Brother Francis □ Clare House □ McKinnell House □ Passage House FINANCIAL ASSISTANCE □ ATAP □ Human Services Safety links □ American Red Cross □ Child Care Assistance □ State Heating Assistance □ Energy Assistance □ Weatherization Assistance EDUCATION □ University of Alaska □ Charter College □ AVTEC □ Alaska Pacific University □ Anchorage School District □ Alaska Career College □ Alaska Construction Academy EMPLOYMENT □ State of Alaska Job Centers □ Anchorage Labor Ready □ Army Community Service □ Alyeska Vocational Services □ Vets helping Vets □ ACMHS Community Driven Services □ U.S. Department of Veterans Work Therapy Program □ MASST/Nine Star HEALTH CARE INFO/SUPPORT □ Access Alaska □ Alaska Info Line □ AK Native Medical Center □ Alzheimer’s Association □ American Cancer Society □ Anchorage Neighborhood Health Cntr. □ Anchorage Project Access □ Municipality Public Health □ Baby Connection □ Providence Family Practice □ Alaska Regional Hospital □ Matsu Regional Medical Center □ RURAL CAP □ UAA Dental Hygiene □ Alaska Tobacco Quit Line COUNSELING □ Veteran’s Administration □ AK Baptist Family Services □ Alaska Counseling Services □ Alcoholics Anon □ ACMHS □ AWAIC □ Four A’s □ Reflections □ Victims for Justice □ central Foundation CLOTHING/HOUSEHOLD □ Abbott Loop Church □ Bishop’s Attic □ Value Village □ Salvation Army □ Crisis Pregnancy Center TRANSPORTATION □ Lutheran Social Services □ Cook Inlet Tribal Council □ People □ AnchorRide MATSU REGION
Sample_Local_Community_Resource_Checklist_Grantee_Example.docx