Get Help Please fill out the form below for services you would like to get help with. First Name Last Name Company Name Address Address 2 City State/Province Select St./Prov. Outside Canada & US Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware Distric of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific Zip/Postal Code Home Phone Cell Phone Work Phone Email What Blue Water CA service(s) are you interested in? Backpack Giveaway Early Head Start (ages pregnancy-3) Financial Literacy - Youth Financial Literacy - Adult Food Assistance Foreclosure Prevention Counseling Getting Ahead Homeless Housing Assessment Resource Agency (HARA) Head Start (ages 3-5) Home Rehab & Repair Homebuyer Education Hoophouses for Health Housing Info & Referral Housing Support Income Tax Preparation Representative Payee Personal Hygiene/Cleaning Supplies Utility Assistance - Gas/Electric Utility Assistance - Fuel/Propane/Wood Utility Assistance - Water Walk For Warmth Weatherization Other How did you hear about us? Agency Website Church Community Event Flyer or Brochure Former or Current Client Friend or Family Member Other Nonprofit Organization Become a Volunteer Yes No Join Our Mailing List Yes No I agree to terms Please demonstrate that you are a human Submit Thank you for contacting Blue Water Community Action. We have received your request; someone will get back with you shortly. Thank you, - Blue Water Community Action Please turn on javascript to submit your data. Thank you! Powered by BreezingForms