Get Help from CCPS

Struggling to relocate? Let’s get you safe.

CCPS has the mission of helping vulnerable people get themselves into safer situations. We are based in Eugene, OR but assist in relocation to the Pacific Northwest in general. Having a rough time getting here? Please feel welcome to fill out the form at the bottom of this page. We will do all within our ability to work with your specific needs and help bring stability to your living situation again.

We are all in this together. Every person is just that: a person, no less deserving of a safe, fulfilling, and happy life than anyone else regardless of any characteristics. The most drastically different two people on Earth share more in common with each other than they’d probably accept, and the shape of our society can pose great barriers in making it back to that empathetic truth at the heart of our existence.

There is nothing about a person that would ever disqualify them from deserving the safety of a stable home and community. We are here to help that happen for you as best as we can.

Unsure if you meet our criteria? Apply anyway!

If we receive your application and find that per your current circumstances we are not able to directly intervene in your situation, which would most likely be due to limited or strained resources on our end, we won’t ignore it. We will still provide whatever help we find ourselves able to and connect you with others who may be better suited for your needs, and if our inability to assist changes we will help you further as soon as possible.

If we are not actively involved in your case and determine that it is not essential to retain information you’ve shared we will immediately remove your information from our systems for your safety and privacy.

Your safety and security is our top priority, and that applies to your data, too. With that in mind if after applying here or contacting us through other means you wish to remove or change the information you’ve shared with us contact us and we’ll hop on it. Like we state in our Privacy Policy: as far as we’re concerned it’s always your data, so it’s yours to change or destroy as you see fit.

Trouble applying?

If you need assistance in any way to complete our application, or have an issue during the process, or want to apply but feel that this format is not for you don’t hesitate to reach out to us through any of the methods listed on our Contact Page. We will be happy to guide you through the process or complete the application together through direct communication.



Apply for CCPS Assistance

Please complete this form to the best of your ability. All fields marked with * are required. If you’re unsure how to answer a question that’s okay: do the best you can and that will be enough.

    Personal Info
    Name you use*  🫣 this does not have to be your legal name




    Contact Info  💬 please provide at least one

    Signal is by far our preferred contact method due to its free access (if you have a phone number), high security, and privacy. If you don’t have a phone number to sign up with or otherwise can’t SimpleX is a secure alternative that works on almost all devices.









    Best Monday—Friday Contact Times
    👇 Mark any and all that apply:

    Best Saturday—Sunday Contact Times
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    Relocation Goals

    How urgent is your situation?*

    Where is your intended destination?*
    👇 Choose one:


    Current Situation





    Assistance

    👇 Mark any and all that apply:


    👇 Mark any and all that apply:


    👇 Choose one:


    Additional Context

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    Data Sharing

    CCPS takes data security extremely seriously. We will never share your data with other organizations or entities without your consent. If consent is granted we will only share specifically the information we deem necessary to help. You may grant, expand, reduce, and/or revoke this consent at any time and for any reason. For more information read our Privacy Policy.

    CCPS will never share your information with government entities without prior express and undeniable consent from you. We take extreme precaution to ensure as best as we can that nobody sees your data besides us and those you want it shared with.


    👇 Mark any and all that apply:



    Acknowledgements and Agreements

    Before completing your application you must agree to all of the following by checking every box. If you have questions or concerns regarding any of the listed items please don’t hesitate to reach out to us via our Contact Page.


    📫 Upon submitting this form CCPS will review your application and, if deemed appropriate, attempt to open communication with you through one or several of your provided contact methods. We reach out as soon as we are able (typically within a few days). If you are concerned that your submission didn’t go through or was missed you may always reach out via our Contact Page.