• Emergency/Transitional Housing Application

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  • Social Security Number will be required in person at the interview.

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  • Spouse's Social Security Number will be required in person at the interview.

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  • More Information

    Please share with us the information concerning your needs and plans.
  • Terms and Conditions: I certify that to the best of my knowledge the above information is true, and I give my permission to verify said information. Falsification of any information may be grounds for immediate denial. Upon signature I authorize a release of information on myself and listed members of my household into secured Service Point database. If needed I authorize a release to area churches.

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  • A Photo ID, Social Security Numbers and proof of income will be required at the interview. You will also be required to sign in person.

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  • Should be Empty: