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Interest Form - Johnston County

Eligibility requirements apply. Select a Referral Source then answer the rest based on the young person's information. Staff will reach out to determine how they may help.

Young African American female in red shirt in front of the NextGen window point up at the logo on the window.

912 North Brightleaf Blvd, Smithfield, NC 27577

919-934-1029 ext. 223

Check al that apply to the individual
What services does the individual need?

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