Housing Readiness Intake (Non-Emergency)

Gentle Helpers Connections Placement & Referral Agency

Chicago-Based Structured Housing Navigation
COMMUNITY & RE-ENTRY HOUSING Prescreening Application

(To determine if you are housing placement ready)
WAIT LIST

Due to the high volume of submissions at this time, prescreenings are being placed on a wait list for future consideration. Thank you for your patience.
Yes
SECTION 1: REQUIRED ACKNOWLEDGEMENT

Please Read Before Continuing Gentle Helpers Connections is a housing placement and referral service. We assist housing-ready adults with exploring shared-living housing options when openings align with availability and intake criteria. This service does not provide emergency housing, shelter placement, or crisis services. Submitting this form does not guarantee housing placement. Submitting missing or incomplete information will delay processing. ⚠️ Important Notice Before Submitting. Please submit only one application per person.Submitting multiple or duplicate applications (including using different emails or phone numbers) will delay processing and may result in your application being removed from review.If you have already applied, there is no need to submit again — your application is already in queue.Applications are reviewed and tracked using your phone number as a primary identifier.
I understand that Gentle Helpers Connections does not provide emergency housing or shelter servicesI confirm that I am seeking non-emergency housing and am able to move when an opening becomes availableI understand that submitting this form does not guarantee housing placement

SECTION 2: Applicant Information
2. Full Legal Name*
5. Date of Birth*

MonthDayYear
3. Phone Number or Emergency Contact Number (if available)*
Please enter a valid number.Format: (000) 000-0000.
4. Email or Emergency Contact Email*
example@example.com
6. Gender*
WomanManNonbinaryPrefer not to say

SECTION 3: Supervision & Legal Status (Re-Entry)

(Re-Entry)
IDOC ParoleProbationMandatory Supervised Release (MSR)No Current SupervisionDoes Not Apply
7b. Please provide details for incarceration along with dates. Otherwise Skip.
YesNo
10. If yes, please explain

Closing Notice

Thank you for completing the Housing Readiness Intake. Submission does not guarantee placement. Availability depends on openings with private landlords and independent housing providers.
Should be Empty:

Gentle Helpers Connections Placement & Referral Agency

COMMUNITY & RE-ENTRY HOUSING Prescreening Application

WAIT LIST

SECTION 1: REQUIRED ACKNOWLEDGEMENT

SECTION 2: Applicant Information

SECTION 3: Supervision & Legal Status (Re-Entry)

SECTION 4: Housing Needs & Preferences

SECTION 5: Income & Stability

SECTION 6: Additional Housing Screening

SECTION 8: Acknowledgement

Closing Notice