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Request Hopeful Hands

Please complete this form to request assistance from our parish's willing Hopeful Hands volunteer team. If approved, we will connect you with the appropriate person or team.

Please call the rectory (718-429-5438) to request assistance with an immediate need.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Address Maximum 20 characters Please enter a phone number.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Parish / School Group Affiliation (if any) Please enter valid data.
- Registered Parishioner REQUIRED Yes No Please fill out this field.
- When do you need this assistance? REQUIRED Please fill out this field. Please enter a date.
- Which assistance would you like? REQUIRED Please fill out this field.
- Provide further description of service if necessary
- How did you hear about us? REQUIRED Please fill out this field.
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