Thank you for your interest in Network of Hope’s programs.

If you live in the Pittsburgh area, are facing hardship, and are in need of help, please fill out the following form. A Network of Hope representative will review your request and contact you—typically within 48 hours.

Even if one of our sites is unable to provide the specific kind of assistance you need, we may be able to refer you to an organization that can help.

1. First Name(required)
2. Last Name(required)
3. Address(required)
4. City(required)
5. State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING (required)
6. Zip(required)
7. Phone(required)
8. Email Address(valid email required)
9. Marital Status Never married Married Separated Divorced Widowed
10. Number of Adults
11. Number of Children (<18)
12. Household Income (annual) 0 - $10,000 $10,000 - $20,000 $20,000 - $30,000 $30,000 - $40,000 $40,000 - $50,000 $50,000 and up
13. Area of Interest Recovery / Addiction / Abuse Food Youth Enrichment Activities Divorce Grief Long-term Illness Other
14. If Other
15. Please tell us a little about your circumstances
16. Comments