Wilkes-Barre Connect Intake Form

Welcome to the Wilkes-Barre Connect Intake Form.  Your answers below will help our team "connect" you to the resources and programs necessary to accomplish your goals, and can be completed in less than five minutes.  Upon submission, our Connect team will be in touch with you within 24 hours (during the business week).

Question Title

* 1. Are you ready to begin the Connect Intake Form?

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