Whatever your situation is, give us a call at 727-7291.

OUR CARING TEAM OF VOLUNTEERS AND STAFF CAN:

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Thank you for registering your request for assistance with Love INC of Worthington.  Please fill in the the form below and we will be in touch with you as soon as possible.  

The services provided are only available to residents of Nobles County.

Name *
Name
Fill in the name and phone for the person helping to fill this form
Phone
Phone
Address
Address
What is your primary language?
Please keep this to a few sentences. We will have an opportunity to hear your whole story through a telephone interview.
Have you contacted a Love INC before for assistance?
Do you live in Worthington or Nobles County?
OPTIONAL Section
We would like to gather some optional demographic information used to better understand our community. You may skip some or all of this section.
Military History
Select what applies
Disability
Choose all that apply
What ethnicity(s) best describes you
Agreements
Please read careful the term of service agreements
Service Area Agreement *
I understand Love INC of Worthington services are for residents of Nobles County and within that, certain services are only available within the town of Worthington. I agree to receive benefits, if I qualify and there are resources available, under this understanding.
Scope of Services Agreement *
This form is the starting point of the process that Love INC uses to open a new file. Love INC maybe different than others you have contacted for help. Love INC is a ministry of 19 local churches in the community and we work to connect people with the best resources available to them in the Worthington area. We are NOT AN URGENT service agency and we DO NOT PROVIDE MONEY nor PAY BILLS. Instead, we assist you in the process of finding and accessing other resources. Over the next few days, one this form is received, Love INC will contact you to get to know you better. We want to problem solve with you about your current situation. Do you and understand and want to continue this process?
Today's Date
Today's Date