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Application for Assistance

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Please complete this application to apply for assistance from The RescYOU Group, Inc.  If you need assistance in completing this application, please contact Shannon Leger @ (337) 256-1515.

* Denotes Required Field

TRG serves a 10 parish region in Acadiana.  If residence is outside this area, some services may not be available.

Please check all applicable boxes
Did you recieve a RescYOU Group Resource Folder?

Privacy Policy

We keep your personal information private and secure.  Your information will be protected and treated with sensitivity.  A consent form is required to release any personal information to a third party.  All information is used for the sole purposes of The RescYOU Group, Inc. in providing the requested service(s).

Thank you for submitting your application. Someone will contact you soon.

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