Inquiry Form

The following inquiry form is not a formal application for enrollment in Samaritan Center.  Its purpose is to help us learn more about your specific situation, so we can open a discussion with you to see if our program is appropriate for your child.  
 
After you fill out and submit the form, a representative from Samaritan Center will contact you within two days.  Thank you!
Use MM/DD/YYYY format.
Describe how the person inquiring knows the child: i.e., parent, grandparent, etc.

Spotlights

Carl's Cares

Samaritan Center was honored to be the first local non-profit to be featured in a new initiative launched by Carl’s Buick GMC:  Carl’s Cares.  As Carl’s spotlighted charity for July 2019, Samaritan Center received a donation for every car sold - a total of $2,200!  Carl’s also helped us educate the public about Samaritan Center by inviting us to share our story with their sales staff and displaying our brochures in their showroom. The generous people at Carl’s, have already been instrumental in helping Samaritan Center obtain a new van at a price we could afford.  They are truly a valued community partner.  

Community Partner Spotlight

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