Save Our Sons Service Provider Form

Community Safety and Empowerment Officer

LaKenya Middlebrook
[email protected]
(865) 215-3155

400 Main St., Room 691
Knoxville, TN 37902

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List of Service Providers
The City of Knoxville is creating a clearinghouse for organizations that provide prevention, intervention and/or reentry services to boys and men of color. Our goal is to provide a central location where individuals, families, and service providers can find information - and possibly collaborate and coordinate with others who are offering complementary services. Will you take a moment to complete this form? Your information will be posted along with links to your website and social media outlets. Please contact Community Relations Director Avice Reid at 865-215-2536 with any questions you might have.


SOS Organization Form
ORGANIZATION INFORMATION
Organization Name
Street Address
City
Zip Code
Phone Number
Cell Phone Number
Website Address
Facebook Address
Twitter Address
LinkedIn Address
CONTACT PERSON INFORMATION
Contact Person's Name
Contact Person's Email Address
SERVICES PROVIDED
Briefly describe your organization and the services provided (200 word maximum):
Age Group(s) Served:
In which area(s) do you provide services? Choose all that apply.
Prevention    Intervention    Re-entry
VOLUNTEER OPPORTUNITIES
Briefly describe the volunteer opportunities you have available in your organization (200 word maximum):