Human Service Organization application

HSO Application

Access East is seeking regional Human Service Organizations (HSOs) to join the grant-funded HSO Network we are developing to help Eastern North Carolina residents who face ongoing obstacles in housing, food availability, transportation and personal safety.

HSO agency requirements for participation in the network are outlined in the accompanying HSO Network Application (click here to access, and download).

Please note:

  • For your agency to be considered for inclusion in the HSO Network, we must receive your completed application by 5 p.m. Friday, Oct. 29.
  • This is not a digital application. It will need to be printed and filled out by hand, though you only have to fill out and send in the first nine (9) pages; the remaining pages are clearly marked as appendices, and need not be returned to us.

You can return the completed application to us in several ways:

  • Scan and email it to myroupe@accesseast.org
  • Fax it to 252-847-7869; Attn: Melissa Roupe
  • Physically mail it to:

           Healthy Opportunities
           c/o Melissa Roupe
           Access East
           2410 Stantonsburg Road
           Greenville, NC 27834