Please complete the form as thoroughly and honestly as possible. Providing false information may result in disqualification from the program. Our services are available to women and children who reside in Seneca County, Ohio, in a neighboring county, or who plan to stay in the Seneca County area. Please note that individuals charged with sex crimes are not eligible for our services. Violent criminal charges may affect eligibility, but we will do our best to connect you with appropriate support. If you need assistance with the application, please call us at 567-220-6533. Paper applications are also available on-site.