Apply for Transitional Housing

This application is the first step in seeking Transitional Housing.

Step 1 of 2

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  • Please Read Before Continuing

    Rental costs and basic house rules.
  • $350/Month
    All bills are included in this amount (gas, water, electricity)

  • Basic Rules:
    1. No smoking inside
    2. No drugs or alcohol
    3. Strict drug and alcohol testing will be done
    4. Curfew is 11:00pm
    5. No women can spend the night (can only visit during the day)
    6. Rent is due at the first of the month and a prorated amount is due if you move in during the month. (no exceptions)
    7. All residents share a room with 1 other guy
    8. Resident provides his own food

  • Applicant Information

  • Add a new row
    No Narcotics or Controlled Substances allowed here. List each medication on a different line.
  • Addiction History

  • Answer "NA" if you don't a history of substance abuse.
  • You are still eligible to enter our program even if you can't pass drug/alcohol screen. If you lie about this question, you won't be able to stay at intake.
  • Add a new row
    Answer "NA" if you don't have addiction history or you're clean from drugs.