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Community Interest Form

Submitting this form is granting permission for your information to be included on the Jefferson County Resource Network webpage.

Section 1: Company/Organization Contact Information

Company

Program Name

Address

Phone Number

Section 2: Website

Website

Section 3: Please provide a brief description of your services.

Description

Section 4: Resource Category in which you would like your company/organization included.

Resource Category

Abuse (Child - Adult)

Addiction Recovery

Adoption

Advocacy

Animal Abuse

Animal Care

Animal Training/Boarding

Audiology

Broadband Services

Child Care

Chiropractic Services

Clothing

Counseling

Dental Care

Developmental Disabilities

Dialysis

Disability Services

Disaster/Emergency

Domestic Violence

Donations

Education

Education/Literacy

Elder Services

Employment

Eye Care

Family & Youth Programs

Financial Services

Food Assistance

Funeral Expenses/Planning

Furniture

Health Services

Home Health Services

Homeless/Shelter

Hospice Care

Hospital

Housing

Housing Assistance

Important Documents

Insurance Assistance

Jefferson County Government Offices

Jefferson County Municipalities

Legal Assistance/Services

Libraries

Medical Equipment

Mental Health Services

Notary

Parent Support

Pharmacy/Medication Services

Physical Therapy

Prosthetics & Orthotics

Public Assistance

Recreation Adult

Recreation Youth

Senior Support Services

Skilled Care

Speech Therapy

Spiritual Care

Support Groups

Trainings/CEU

Transportation Assistance

Transportation Providers

Unemployment

Urgent Care Center

Utility Assistance

Veteran Services

Victim Assistance

Volunteer Opportunities

Voting

Wellness/Fitness

Women's Care/Services

Youth Organizations

Other category that is not listed (please specify)

Section 5: Company/Organization Point of Contact Person

Name

Phone Number

Section 6: Company/Organization Logo

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NOTE: Do not submit any duplicate entries in an attempt to correct a prior submission.

All corrections, changes, updates, etc. should be emailed to info@jcresourcenetwork.net

If this is an EMERGENCY, please call 9-1-1.

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In partnership with the Jefferson County Educational Service Center and Jefferson County Commissioners

The Jefferson County Resource Network website is a product of the Jefferson County Educational Service Center (JCESC) and may contain or reference links to websites operated by third parties ("Third Party Websites"). These links are provided as a convenience only. Such Third-Party Websites are not under the JCESC control. The JCESC is not responsible for the content of any Third-Party Websites, or any link contained in a Third-Party Website. The JCESC does not review, approve, monitor, endorse, warrant, or make any representations with respect to Third Party Websites, and any links contained on the Websites, or any other services provided in connection with them does not imply an affiliation, sponsorship, endorsement, approval, investigation, verification or monitoring by us of any information or services contained in any Third-Party Websites. In no event will the JCESC be responsible for the information contained in such Third-Party Websites or for your use of or inability to use such websites. Access to any Third-Party Websites is at your own risk, and you acknowledge and understand that linked Third-Party Websites may contain terms and privacy policies that are different from ours. The JCESC is not responsible for such provisions, and expressly disclaim any liability for them.

You as the User agree not make any claims against the JCESC regarding use of Third-Party Websites or related links and services provided. Further you agree to indemnify, defend and hold harmless the JCESC, its Board Members, directors, officers, employees, agents, affiliates and subsidiaries from and against any and all losses, claims, damages, liabilities, costs and expenses (including without limitation, reasonable attorneys' fees and costs) arising from claims resulting from your use or reliance on any content, events, goods or services available on or through any Third Party Websites or related links.