Click the link below to download or print our application form. Once you have filled it out, please drop it of at any one of our centers, or mail it to:
Alliance for Community Empowerment ATTN: ERSEA Department 1070 Park Avenue Bridgeport, CT 06604
Once we have received your application, one of our staff will call you to schedule an intake meeting.
Please call 203-366-8241 ext. 3221 or fill out the contact form below and one of our staff will get back to you shortly.