To become a client, please fill out the following form and send it to dchodorow@communityconnectionohio.com or fax it to 614-252-0158. You may also mail it to:

Community Connection
Community Reentry Center
993 East Main Street
Columbus, Ohio 43205-5342

Name
Address:
City:
State: Zip Code:
Phone:
Email:
Best time of day to reach you:
What are your needs?