Have an Account? Want to Create One? FACT Oregon encourages you to set up your own account! You can update your information, make registering for an event a snap or view donations! Please create a login name and password, or use Facebook or Google to sign in! It's easy! (Your password must be at least eight characters long, and contain at least one number.) When you sign in select 'Support Request'. Support Request First Name Last Name Gender Female Male Other Trans female/Trans Woman Trans male/Trans Man Email Phone3 Address 1 Address 2 City State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING AMERICAN SAMOA FEDERATED STATES OF MICRONESIA GUAM MARSHALL ISLANDS NORTHERN MARIANA ISLANDS PALAU PUERTO RICO U.S. MINOR OUTLYING ISLANDS VIRGIN ISLANDS ARMED FORCES AMERICAS ARMED FORCES ARMED FORCES PACIFIC ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND AND LABRADOR NOVA SCOTIA NORTHWEST TERR. NUNAVUT ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON Zip School District Adel Adrian Alsea Amity Annex Arlington Arock Ashland Ashwood Astoria Athena-Weston Baker Bandon Banks Beaverton Bend-La Pine Bethel Blachly Black Butte Burnt River Brookings-Harbor Butte Falls Camas Valley Canby Cascade Centennial Central Central Curry Central Linn Central Point Clatskanie Colton Condon Coos Bay Coquille Corbett Corvallis Cove Creswell Crook County Crow-Applegate Culver Dallas David Douglas Days Creek Dayton Dayville Diamond Double O Drewsey Dufur Public Schools Eagle Point Echo Elgin Elkton Enterprise Estacada Eugene Falls City Fern Ridge Forest Grove Fossil Frenchglen Gaston Gervais Gladstone Glendale Glide Grants Pass Greater Albany Gresham-Barlow Harper Harney County Harrisburg Helix Hermiston Hillsboro Hood River County Huntington Imbler Ione Jefferson 14J (Marion Co) Jefferson County 509J (Jefferson Co) Jewell John Day Jordan Valley Joseph Junction City Juntura Klamath County Klamath Falls City Schools Knappa La Grande Lake County Lake Oswego Lebanon Community Schools Lincoln County Schools Long Creek Lowell Mapleton Marcola McDermitt McKenzie McMinnville Medford Milton-Freewater Mitchell Molalla River Monroe Monument Morrow Mt Angel Myrtle Point Nampa Neah-Kah-Nie Nestucca Valley Newberg North Bend North Clackamas North Douglas North Lake North Marion North Powder North Santiam North Wasco County Nyssa Oakland Oakridge Ontario Oregon City Oregon Trail Paisley Parkrose Pendleton Perrydale Philomath Phoenix-Talent Pilot Rock Pine Creek Pine Eagle Pinehurst Pleasant Hill Plush Port Orford-Langlois Portland Powers Prairie City Prospect Rainier Redmond Reedsport Reynolds Riddle Riverdale Rogue River Roseburg Public Schools Salem-Keizer Santiam Canyon Scappoose Scio Seaside Sheridan Sherman Sherwood Silver Falls Sisters Siuslaw South Harney South Lane South Umpqua South Wasco County Spray Springfield St Helens St Paul Stanfield Suntex Sutherlin Sweet Home Three Rivers/Josephine CU Tigard-Tualatin Tillamook Troy Ukiah Umatilla Union Vale Vernonia Wallowa Warrenton-Hammond West Linn-Wilsonville Willamina Winston-Dillard Woodburn Yamhill-Carlton Yoncalla Winston-Douglas Primary Language Arabic Chinese-Cantonese Chinese-Mandarin Duala English Fanti Hindi Japanese Korean Marshallese Romanian Russian Serbo-Croatian/Bosnian Somali Spanish Tagalog Vietnamese Other Year of Birth of Person with Disability Demographic Information While the demographic information you provide is voluntary, the funding agencies that support FACT Oregon's work request demographic data periodically to make sure we are meeting our diverse community's needs. This information is anonymous, and will not affect support or services you receive from FACT Oregon. Ethnic/Racial Identity African American/Black American Indian / Alaskan Native Asian Caucasian/White Hawaiian/Pacific Islander Hispanic/Latino Multiracial Russian/East European Other Recipient Of | Recibe Child Receives Free/Reduced Lunch | Recibe almuerzo gratis en la escuela County Mental Health Program | Servicios de Salud Mental del Condado SNAP (Food Stamps) | SNAP (Estampillas de Comida) OHP (Oregon Health Plan) TANF | Ayuda monetaria Declined to Answer | No Deseo Contestar Please share a little about the reason for your support request. Summary (Max 1024 characters)