FACT Oregon - empowering Oregon families experiencing disability


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
Email
Phone3
Address 1
Address 2
City
State
Zip
School District
Primary Language
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
Recipient Of	Child Receives Free/Reduced Lunch County Mental Health Program Food Stamps OHP TANF Declined to Answer
Please share a little about the reason for your support request.
Summary (Max 1024 characters)

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