Thank you for your interest in With Love! To receive services, please fill out this form.

Our process:

Step 1: Fill out the Initial Qualification Form. Please note that children must be in your home before qualifying for assistance.

Step 2: With Love reviews your information.

Step 3: You will receive an email from support@withloveoregon.org within one to two business days with a detailed request form or clarifying questions.

Step 4: Submit the full request form; support@withloveoregon.org will confirm once the information is received

Step 5: Our volunteers will shop for your requested items based on your provided list.

Step 6: The Community Engagement Specialist will contact you to schedule a pickup or notify you of an upcoming delivery of your requested items. Please note that the delivery area is limited to a 30-minute radius.


Thank you for providing a safe and loving home for these children!

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Initial Family Request Form