Assistance Partner Wiki - NLC LifeWorks

If you need to make a referral to our Intake Coordinator, requesting assistance for a participant in your program, please use the Assistance Partner Referral form below.

In order to make a referral to LifeStyle, our furniture mission serving the formerly unhoused in Carlisle, please use the link to access the LifeStyle Referral Form.

If you have a more general question, or need to discuss a different matter, please use the general Contact Form or call the main desk at (717) 240-0060.

We look forward to serving our neighbors alongside you!

Assistance Partner Referral

Referring Agency(Required)

Agency Contact Name(Required)

Agency Phone(Required)

Country Phone Number

Agency Email(Required)

Participant Information

Participant Name(Required)

First Last

Phone

Country Phone Number

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Assistance Needed(Required)

Please provide a brief description of the assistance that is needed.