• Program Managers Assessment

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  • Emergency Accommodation Application

  • We acknowledge that some questions contained within this application are confronting and can be difficult to answer.

    We simply ask that you answer each question as honestly and accurately as possible.

    The more detail you can provide, the better our services can be.

  • Are you completing this application on someone else behalf?*

  • Andrew Russell Veteran Living

    RSL Care SA’s Andrew Russell Veteran Living (ARVL) is a housing program which aims to ensure that ex-service personnel in South Australia have the opportunity to access appropriate and affordable housing solutions.

  • Emergency accommodation

    ARVL’s emergency accommodation consists of 10 units, in the suburb of Sturt, designed to provide temporary accommodation for veterans who are homeless, at risk of homelessness or in need of transit accommodation. Our program operates with a ‘housing first solution’ and our primary goal is to focus on housing pathways to assist veterans in securing permanent accommodation solutions. Whilst residing in our emergency accommodation, veterans are also required to actively work towards addressing their own situation of homelessness by engaging with external support agencies and relevant service providers. The success of the program is heavily reliant on the veteran’s attitude, motivation and willingness to work in partnership with RSL Care SA and the support services offered. An individualised case plan will be established prior to entering the accommodation to assist the veteran to make contact with and seek assistance.

    • The Department of Veteran Affairs (DVA)

    • Open Arms

    • Pop-up Community Care nursing

    • The veteran community through various ESO’s

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  • ARVL Accommodation

    RSL Care SA will provide a fully furnished 1-bedroom unit or bedsit (as pictured below) which is designed as transit accommodation only and is not a permanent or long-term housing solution. The length of stay at ARVL will be determined on a case-by-case basis and will be in alignment with personal circumstances. The accommodation consists of:

    • 2 x one-bedroom units
    • 8 x bedsit units.
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  • Eligibility 

    To be eligible you must be a former member of the Australian Defence Force who:

    • Is homeless, at risk of being homeless or in need of transit accommodation
    • Able to live independently
    • Does not have any serious behavioural or drug and alcohol issues
    • Does not have children or pets that would be living with you
    • Be able to meet the tenancy obligations (i.e. pay rent, abide by house rules)
    • Is willing to continue medical and psychological treatment as advised by practitioners
    • Is seeking a fresh start

  • Rent & Bond requirements

    RSL Care SA offers subsidised rent of $165 per week + $15 utilities charge (total payable of $180 per week). Residents are required to pay one week of rent in advance prior to moving into an ARVL unit and maintain rent one week in advance at all times.

    Additionally, a bond equivalent to the sum of two weeks rent (total bond of $330) is required to be paid prior to moving into ARVL accommodation. The bond will be lodged and retained by Consumer & Business Services. We recommend that our resident’s access a bond guarantee and one week of rent advance from Housing SA. Google “help paying rent and bond” to check your eligibility and apply.

  • Applications 

    RSL Care SA assesses and prioritises each application on a case by case basis using a holistic approach that considers the applicant's circumstances and needs, the needs of other ARVL residents, availability and service history.

    Unfortunately, RSL Care SA will not be able to help all those who apply as some applicants will prove to be unsuitable for the program, or there may be insufficient availability.

  • If my application is approved, I understand that whist residing at the emergency accommodation I will be required to:*

  • For more information

    Please contact RSL Care SA

    Tel: 08 8379 2600

    Mobile: 0488 137 570

    ARVL@rslcaresa.com.au

  • Applicants Details

  • Date of birth*
     - -
  • How did you find out about ARVL?*

  • Next of Kin Details

    The nominated NOK will be the main point of contact for administration purposes and will inherit any responsibilities associated with the accommodation, if you are unable to do so.

  • A person’s next of kin is typically their spouse or closest living relative. The following hierarchy determines who is the most senior next of kin (in order):

    • spouse or domestic partner;
    • adult son or daughter (eldest surviving takes seniority);
    • parent;
    • adult sibling;
    • person named in the Will as an executor

  • Emergency Contact

    The nominated emergency contact will be the main point of contact in the event of an emergency.
  • Is your emergency contact the same as your NOK*

  • Australian Defence Force Service History

    Please fill in the ADF service history section in chronological order
  • When did you first enlist?*
     - -
  • Discharge date*
     - -
  • Reason for discharge*
  • Do you have a pending discharge?*
  • Pending discharge date?*
     - -
  • Reason for discharge*
  • When did you transfer?*
     - -
  • When did you re-enlist?*
     - -
  • Discharge date*
     - -
  • Reason for discharge*
  • Do you have a pending discharge?*
  • Pending discharge date?*
     - -
  • Reason for discharge*
  • When did you transfer?*
     - -
  • When did you re-enlist?*
     - -
  • Discharge date*
     - -
  • Reason for discharge*
  • Do you have a pending discharge ?*
  • Pending discharge date?*
     - -
  • Reason for discharge*
  • When did you transfer?*
     - -
  • When did you re-enlist?*
     - -
  • Discharge date*
     - -
  • Reason for discharge*
  • Do you have a pending discharge?*
  • Pending discharge date?*
     - -
  • Reason for discharge*

  • Operational Service

  • Have you deployed on operational service?*
    • First Deployment  
    • What was the nature of the operational service*
    • When did your deployment commence?*
       - -
    • When did your deployment finish?*
       - -
    • Second Deployment 
    • What was the nature of the operational service*
    • When did your deployment commence?*
       - -
    • When did your deployment finish?*
       - -
    • Third Deployment 
    • What was the nature of the operational service*
    • When did your deployment commence?*
       - -
    • When did your deployment finish?*
       - -
    • Fourth Deployment 
    • What was the nature of the operational service*
    • When did your deployment commence?*
       - -
    • When did your deployment finish?*
       - -
    • Fifth Deployment 
    • What was the nature of the operational service*
    • When did your deployment commence?*
       - -
    • When did your deployment finish?*
       - -
    • Sixth Deployment 
    • What was the nature of the operational service*
    • When did your deployment commence?*
       - -
    • When did your deployment finish?*
       - -

  • Emergency Services

  • Have you ever been an emergency services worker?*

  • Family situation

  • Marital status*
  • Does your partner require accommodation at ARVL?*
  • Partners Date of Birth*
     - -
    • Child/dependent 1 
    • Date of Birth *
       - -
    • Does the child reside with you on a:*
    • Child/dependent 2 
    • Date of birth*
       - -
    • Does the child reside with you on a:*
    • Child/dependent 3 
    • Date of birth*
       - -
    • Does the child reside with you on a:*
    • Child/dependent 4 
    • Date of birth*
       - -
    • Does the child reside with you on a:*
    • Child/dependent 5 
    • Date of Birth *
       - -
    • Does the child reside with you on a:*
    • Child/dependent 6 
    • Date of birth*
       - -
    • Does the child reside with you on a:*

  • Situation of homelessness

  • You are considered to be experiencing homelessness if:

    • Sleeping rough 
    • Sleeping in a vehicle 
    • Staying in hotel accommodation (self-funding)
    • Staying in Open Arms emergency accommodation
    • Couch surfing 

     You are considered to be at risk of homelessness if:

    • You need to move out
    • Being evicted or asked to leave 
    • Leaving the hospital, a mental health facility, prison, rehabilitation, etc

    Your accommodation may be unsuitable because: 

    • Unsuitable or unmanageable living environment
    • You are moving interstate
    • You require transit accommodation for a short period 
  • Which statement best describes your current housing situation?*
  • Where did you sleep last night?*
  • Do you have to leave your current accommodation?*
  • When do you need to leave?*
     - -
  • Why do you need to leave (select all that apply)?*
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  • In the past 12 months, how long have you experienced homelessness?*
  • In the past 12 months, where have you lived (select all that apply)?*
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  • Vehicles

  • Do you have a vehicle?*

  • Veteran Matters

  • Do you have a DVA veteran card?*
  • Have either of your parents served in the ADF?*
  • Do any of the following veteran statement apply to you?*

  • Housing

  • Have you been a resident of ARVL accommodation in the past?*
  • Have you been evicted or asked to leave any type of housing?*
  • Have you ever fallen behind or failed to pay rent?*
  • Have you ever received a tenancy agreement breach notice?*
  • Have you ever had a rental bond fully or partially claimed (not refunded)?*
  • Do you require housing for any pets ?

  • Legal Matters

  • Have you ever been convicted of a violent offence?*
  • Have you ever been convicted of a sexual offence?*
  • Have you ever been convicted of any other criminal offence?*
  • Have you ever been incarcerated?*
  • Are you on home detention, parole or bail?*
  • Are you currently under a court order, AVO/DVO, Extended Supervision Order (ESO) or restrictions?*
  • Do you have any other court dates or pending legal matters?*

  • Physical health

  • Do you have a GP?*
  • Do you have a physical health condition or disability that requires specialist or modified housing?*

  • Mental Health

  • Have you been diagnosed with a mental health condition?*
  • Please select all that apply*
  • Are you currently receiving treatment for a mental health condition?*
  • Are you currently taking prescription medication for a mental health condition?*
  • Have you been an inpatient of a mental health facility?*
  • In the past 12 months have you had thoughts about taking your own life?*
  • In the past 12 months have you ever attempted to harm yourself or attempted suicide?*
  • If you do have any concerns with your mental health or physical safety are you able to access support?*
  • Have you experienced a traumatic event in your life that you feel we should know about?*

  • Alcohol & Substance use

  • How often do you have a drink containing alcohol?*
  • How many drinks containing alcohol do you have on a typical day when you are drinking?*
  • How often do you have six or more standard drinks on one occasion?*
  • Have you ever tried and failed to control, cut down or stop using alcohol?*
  • Have you ever received treatment for alcohol addiction?*
  • Have you ever used illicit substances?*
  • Which substances have you used?*
  • Are you still using cannabis?*
  • Are you still using cocaine?*
  • Are you still using amphetamines?*
  • Are you still using inhalants?*
  • Are you still using hallucinogens?*
  • Are you still using opioids?*
  • Are you still using steroids?*
  • Are you still using this substance?*
  • Have you ever tried and failed to control, cut down or stop using illicit substances?*
  • Have you ever received treatment for substance addiction?*

  • Financial matters

  • Which of the following sources of income do you receive? (select all that apply)*
  • Date of last payment?*
     - -
  • Which Centrelink benefits do you receive?*
  • Date of last payment?*
     - -
  • Which DVA benefits do you receive?*
  • Date of last payment?*
     - -
  • Which superannuation benefits do you receive?*
  • Date of last payment?*
     - -
  • Date of last payment?*
     - -
  • Do you own or partly own a residential property?*
  • Do you have significant or unmanageable debts?*
  • Would you like to speak to a financial support service?*
  • Do you gamble?*
  • Have you ever tried and failed to control, cut down or stop gambling?*
  • Have you ever received treatment for gambling addiction?*
  • Would you like to engage with support / treatment for gambling addiction?*

  • Supporting documentation

  • Please provide the following required supporting documentation:

    • Photographic ID (Drivers license, proof of age card, passport, etc)
    • DVA Health Card or Medicare Card
    • Proof of income
    • Verification of military service (Enlistment or discharge certificate, service report)

    If you are unable to provide any of these documents, please contact the program manager on:

    Mobile: 0488137570

    Email: ARVL@rslcaresa.com.au

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  • Terms & Conditions

  • The Andrew Russell Veterans Living (ARVL) program collects personal information to assess tenant applications, verify military service and for use in an emergency.

    The information we collect is stored, used and disposed of in accordance with RSL Care SA’s Confidentiality and Privacy policy. You may obtain a copy of this policy or access your personal information by written request.


    By signing this form you provide consent for RSL Care SA, as part of application processing, to contact all necessary people to verify the information provided and you understand that all Privacy Act requirements and all of RSL Care SA policies will be adhered to.


    By signing this form you also consent to your personal information being passed on during the tenancy (should it commence) and after the tenancy if required to other third parties which includes, but is not limited to, tradespeople/contractors, other housing providers, tenancy databases, law enforcement and other relevant parties in full compliance with the Privacy Act and any other relevant information.

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