BWCO Ministries: "Holiday Home is where You Are" Program Onboarding

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Dear Applicant, welcome to the "Holiday Home is where You Are" Program. We are a dedicated non-profit organization, currently operating with 501(c)(3) Pending Certification Classification, committed to providing a season of safety and hope. Submission of this form places you on our official waiting list.

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Date of Application

Date

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Applicant Full Name (Legal)

First Name

Last Name

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Date of Birth

Date

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Gender Identity

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Case Manager Name (If applicable)

First Name

Last Name

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Case Manager Phone Number

Please enter a valid phone number.

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Current Shelter/Network Affiliation

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If "Other" or "None" specified above, please detail your current situation.

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Total Number of People in Household

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List all household members (Name and Age/DOB). Example: John Doe, 5; Jane Doe, 10/12/2020

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Permanent Housing Unit Size Needed

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Priority Level of Housing Need

Urgent (Immediate physical risk)

High Priority (Shelter time limit near)

Ongoing Need (Preventative)

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GUIDANCE: Please use the narrative section below to briefly explain your need. We ask you to find strength and clarity as you prepare this statement. We encourage you to pause and find peace in this moment:

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"God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference."

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Narrative of Need (3-5 Lines) Please briefly explain how securing permanent, safe housing or receiving basic needs support will impact your stability.

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GUARANTEE: All services provided through this program are FREE 🆓 to all impacted qualifying applicants. Our services include: Direct Housing Placement, Basic Needs Basket, Groceries & Food Resources, and Post-Placement Support.

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🚨 WAITLIST NOTICE: Due to program entity limitations (100 cases per cycle), submission of this application places you on our official waiting list. We thank you for your patience as we manage files based on triage priority.

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DISCLAIMER: PRIVACY POLICY FOR APPLICANT DATA BWCO Ministries ensures all personal information is held in the strictest confidence. Your data is used solely for determining eligibility and securing housing (shared with landlords/agencies only upon your explicit instruction for lease signing). Your data will never be sold.

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Privacy Policy Acknowledgment

I acknowledge and understand the Privacy Policy

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VIDEO / PHOTO RELEASE AUTHORIZATION For: RockSteadyStudiozLive Presentz productions & Training Materials. I grant permission to BWCO and RockSteadyStudiozLive Presentz to use my image/likeness for non-profit and educational training materials only. I understand this is OPTIONAL and NOT a condition of receiving services.

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Media Authorization Decision

I AGREE to the Video/Photo Release Authorization.

I DECLINE to the Video/Photo Release Authorization.

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Applicant Signature