• Where Independence Meets Choice

    Thank you for submitting a client referral.Please complete this form with the available information. Our team will review the referral and reach out regarding next steps based on availability.
  • Veteran's Housing Application

    Veteran's Housing Application

    This application is for U.S. military veterans seeking transitional housing and independent living support (non-medical).
  • Are you a U.S. Military Veteran?

  • This application is intended for U.S. military veterans.

    If you are not a veteran, please complete our Client Housing Application instead.

  • Who is completing this application?
  • Veteran's Date of Birth *
     - -
  • Is the Veteran 18years old or older?*
  • Format: (000) 000-0000.

  • VETERAN'S SERVICE INFORMATION

  • Discharge Status*
  • Do you currently receive VA benefits?*
  • Are you able to provide verification of income if requested?
  • Housing Preference?
  • Is the veteran able to manage their medical needs independently?*
  • Are you willing and able to follow house rules and program guidelines?*
  • Format: (000) 000-0000.
  • I understand this is a non-medical Independent Living Facility (ILF) and residents must be able to manage their medical needs independently.*

  • Important Notice
    K&M Choice Living is a non-medical Independent Living Facility (ILF).
    Submission of this application does not guarantee housing placement.
    Housing availability is based on eligibility and space.

  • Should be Empty: