English
한국어
Español
About Us
Overview
Meet Our Leaders
Reports & Financials
Blog
Get Involved
Careers
Upcoming Events
Fundraising Events
Services
Overview
Mental Health Counseling
Financial Help
Enhanced Care Management
Family Support
Drug & Alcohol Recovery
Supportive Housing
Community Action
Substance Use Prevention
Koreatown Storytelling Program
Environmental Programs
AAPI Hate Resources
Children & Youth
Overview
Kids Town
K-5
Middle School
High School
College Prep
Contact Us
Overview
Directory
GIVE
VOLUNTEER
Services Eligibility
Services
Services Eligibility
"
*
" indicates required fields
Facebook
This field is for validation purposes and should be left unchanged.
What year were you born?
*
What language are you most comfortable speaking?
*
English
Korean
Spanish
Chinese
Farsi
Armenian
Filipino/Tagalog
Other
How many children under the age of 18 do you have?
*
None
1
2
3
4
5
6
How old is the first child?
0-2
2-5
5-6
6-12
12-14
14-18
How old is the second child?
0-2
2-5
5-6
6-12
12-14
14-18
How old is the third child?
0-2
2-5
5-6
6-12
12-14
14-18
How old is the fourth child?
0-2
2-5
5-6
6-12
12-14
14-18
How old is the fifth child?
0-2
2-5
5-6
6-12
12-14
14-18
How old is the sixth child?
0-2
2-5
5-6
6-12
12-14
14-18
Are you low-income?
*
Yes
No
I don't know
How can we assist you? (check as many boxes as you'd like)
*
Mental health counseling
Home-based visitation support
Personal financial coaching
Tax prep and IRS help
Small business development
Utility discounts
Drug and alcohol recovery
Navigating LAUSD for my children
Get diapers and baby products
Help me understand what public benefits I'm eligible for
Free food
Homeless prevention
Middle school and high school tutoring
College preparation
Tree planting
Graffiti removal
View Details for Mental Health Consulting
View Details for Financial Help
View Details for Drug & Alcohol Recovery
View Details for Family Support
View Details for Supportive Housing
View Details on High School Services
View Details on College Prep
View Details for Environmental Programs
Are you interested in taking part in improving our community?
*
Yes, I'd like to learn more about educating our community about youth access to drugs
Yes, I'd like to participate in recording the rich culture and history of our community
Yes, I'd like to help clean up and beautify our community
No, maybe another time
View Details on Substance Abuse Prevention
View Details on Korea Storytelling
View Details on Environmental Programs
Name
*
Tell us your name so we know what to call you when we contact you!
First
Last
Address
*
This will only be used to see if you're eligible for certain programs that only serve individuals who live in specific geographic locations.
Street Address
City
State / Province / Region
ZIP / Postal Code
What is the best phone number to reach you?
*
Would you like us to give you a call about the services we can provide for you?
*
Yes
No
We'll give you a call in 3-5 business days. In the meantime, feel free to learn more about our services on our website.
This field is hidden when viewing the form
Mental Health Counseling
Mental Health Counseling https://www.kyccla.org/services/mental-health-counseling/
This field is hidden when viewing the form
Financial Help
Financial Help https://www.kyccla.org/services/financial-help/
This field is hidden when viewing the form
Drug & Alcohol Recovery
Drug & Alcohol Recovery https://www.kyccla.org/services/drug-alcohol-recovery/
This field is hidden when viewing the form
Family Support
Family Support https://www.kyccla.org/services/family-support/
This field is hidden when viewing the form
Supportive Housing
Supportive Housing https://www.kyccla.org/community-action/supportive-housing/
This field is hidden when viewing the form
High School
High School https://www.kyccla.org/children-youth-landing/ys-high-school/
This field is hidden when viewing the form
College Prep
College Prep https://www.kyccla.org/children-youth-landing/college-prep/
This field is hidden when viewing the form
Environmental Programs
Environmental Programs https://www.kyccla.org/community-action/es-landing/
This field is hidden when viewing the form
Substance Use Prevention
Substance Use Prevention https://www.kyccla.org/community-action/pe/
This field is hidden when viewing the form
Koreatown Storytelling
Koreatown Storytelling https://www.kyccla.org/community-action/ksp/
