NOTE: NeighborShare is currently available only in the Midlands area of South Carolina. As the program builds momentum we will expand to other communities in our state.

First Name

Last Name

Street Address

City

State

Zip

Please let us know how you would describe the part of town where you live.

Columbia Area:
DowntownNortheastSt. Andrews/IrmoCayce/West ColumbiaFort Jackson/East ColumbiaNorthwestI do not live in Columbia

If you live outside of Columbia, please let us know your County
(Select from Dropdown Menu)

We are currently only able to serve the South Carolina counties listed in drop-down menu above. If you are not in one of these counties, select "Other" and we will keep your information on file to follow-up as we expand in the future.

Phone (Example "123-456-7890")

Your Email (Example "example@example.com")

Thanks for requesting assistance through NeighborShare. Can you tell us a little more about you?

Do you receive SNAP/EBT?
YesNo

Do you have a primary care physician?
YesNo

If yes, please provide your doctor's name:

Do you have your own transportation?
YesNo

Please share anything else about yourself that you would like us to know.

Please select your level of assistance needed below (Check all that apply):