Connect with Amani

If you are a community service provider, community partner, or a person who is in need of our services, please fill out the form below. Our Community Support Program Manager or Prevention Coordinator will reach out to you shortly. If this is a crisis or an emergency, please call 911.

Agency / Provider Information:

Person Making the Referral

Agency (if applicable):

Telephone Number:

(###)

###

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Email Address:

*Required for the referring party to leave their email address when referring a client

Personal Information

Referral Information:

First Name

Last Name

Date of Birth:

YYYY

Phone:

(###)

###

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Address

Reason for Referral:

Primary Language:

Spouse and child information and/or other household member(s):

How many in Household

Please list spouse, children and other household members below.

Please include the names and date of birth for all members.

Our Office

5104 North Clinton Street
Fort Wayne, IN, 46825
United States

"Amani" : peace (Kiswahili), aspirations or wishes (Arabic)

Amani Family Services is a 501(c)(3) organization. Services funded by Amani are provided to all persons without regard to age, gender, race, religion, national origin, disability, sexual orientation, socio-economic status, immigration status, or any other barriers to participation.
Founded in 2006 | 2022 Annual Report | 2020 Form 990