Kingsley Group

The Kingsley Group

Waiting-list
Thank you for your interest in The Kingsley Group. While we are an independent housing program, availability is limited. At the time you apply, there may be a waiting period, as placements are handled on a first-come, first-served basis. We kindly ask for your patience during this process. If we are unable to place you within The Kingsley Group, we will assist you in connecting with another suitable program.
Client Name

First NameLast Name
Client Age
Client Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Client Current Income

EmployedSSI/SSDIRetirementVouchersOrganizational FundingOther
How much is your monthly income
Case Worker Name/Representative

First NameLast Name
Case Worker Phone Number/Representative
Please enter a valid phone number.Format: (000) 000-0000.
Case Worker Email/Representative
example@example.com
Discharge Date

MonthDayYear
Date
Date of Service

MonthDayYear
Date
Is the client capable of living independently without requiring assistance?

YesNo
Does the client have a stable monthly income, such as employment, SSI, or family assistance, etc

YesNo
Should be Empty:

The Kingsley Group