Raleigh County Community Action Documents 

Download / Print then fill out the forms below and return to Raleigh County Community Action Association to help our case managers determine eligibility for any of our programs.   

Raleigh County Community Action Association

111 Willow Lane

Beckley, WV 25801

tel: 304-252-6396 



For Head Start Applications Please Click The Following Link

Head Start Application

Title VI Plan

Annual Report Head Start 2015

Title VI Complaint Form

RCCAA Intake Form

Headstart Pre-K Application

Headstart Pre-K Application Letter

ESG Rapid Rehousing Intake Requirements

ESG Rental Assistance

ESG Utility Assistance Requirements

SSVF Requirements