Start your intake

A navigator will reach out to set up your first meeting. Most fields are optional. Share what feels right and skip the rest.

What kind of support are you looking for?

This helps us route your application to the right navigator.

Who you are

What name would you like us to use? *

PronounsAge range

Gender identity (optional)Race / ethnicity (optional)

How to reach you

Email *

We’ll send a confirmation here with a sign-in code.

Phone or Signal numberDiscord handle

What you're looking for

Services you want help with

Pick all that apply. If you’re not sure, leave them unchecked and your navigator can sort it out with you.

Your move

Moving from (city, state)

You can be vague if safety is a concern (e.g. “a restrictive state”).

Moving to

CountryState

City or region (optional)

You can be vague if safety is a concern. Leave blank for “anywhere in the selected state.”

Target move date

Some context

Income statusHousing situation / detailsEmployment / industry interestTell us more about your situation

Safety

Only navigators see this. Never shared with peers or other partners.

Safety concerns

Consent

I’m okay with WERQ HUB sharing my information with partner orgs they refer me to. *I’m okay with ID verification or a background check if a specific resource (housing program, employer, etc.) requires it.

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