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- Are you submitting this application on behalf of another person?*
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- Do you self-identify as trans, nonbinary or gender-nonconforming? (No doctor's note or legal paperwork is required.)*
- Are you seeking permanent housing in the greater Sacramento region (in Sacramento County or adjacent counties?)*
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- Do you have access to a co-signer on a lease or rental agreement?*
- Are you in need of housing that is safe, accessible, and affordable?*
- Do you need emergency financial assistance in order to afford to move in to safe, accessible, affordable rental housing?*
- Do you need emergency financial assistance with rent payment in order to remain housed, due to COVID-19-related financial impacts?*
- Do you have a US Housing and Urban Development (HUD) Housing Choice voucher (Section 8)? (If no, skip the next question.)*
- If you have a Housing Choice (Section 8) voucher, have you been able to find a landlord who accepts that type of voucher?
- Are you 18 years of age or older?*
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- Are you experiencing abuse or violence in your current living situation?*
- Are you a trans woman or trans femme?*
- Are you Black, Indigenous, and/or a Person of Color? (Please check yes if you are Native American, Indigenous, Black, Asian, Middle Eastern and Pacific Islander, or if you have mixed heritage and are not white.)*
- Are you currently experiencing homelessness, with homelessness defined broadly as lacking a stable indoor living space of one's own? (Check yes if you regularly sleep outside, in your vehicle, squatting, or doubled up at a friend’s, partner’s or family’s home on a temporary basis, if your landlord has recently served you with an eviction notice, or if you are being discharged from a hospital, jail or other institution without a home.)*
- Are you at imminent risk of becoming homeless in the next two months?*
- Do you have one or more disabilities? (Please check yes if you consider yourself disabled.)*
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