Forms

Agency Referral Form

Complete application completely and accurately

Fax Application to:
Greenville Community Shelters, Inc.
Attn: Marcella Perkins: Shelter Case Manager
(252)752-8766

Submit copies of the following with the application:
Picture ID
Completed Police Warrant Check(Greenville Police Station located at 500 S. Greene Street, Greenville, NC 27858

Agency Referral Form