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  1. emPOWERme
    A new Portland Housing Authority Resident Services Program.

    Thank you for your interest in the emPOWERme Program. Please complete the following so that a program coordinator will be able to contact you with information you are interested in.
  2. Home or Cell?
  3. Interests*
    Please select all that interest you.
  4. Assistance Receiving:
    Please check off all the boxes for assistance you are CURRENTLY receiving.
  5. Leave This Blank:

  6. This field is not part of the form submission.