Tornado Group Program Wait List

1
Who is completing application/ Is this a referral?
Self
Case Manager
Parole/ Proation
Hospital (medical)
Hospital ( Psychiatric )
Shelter
2
I understand the program participant must be able to live independently and no clinical care or medical care will be received. Participant must be able to complete basic hygiene, cook and clean living area and ambulate on their own. I understand participant must be able to take medication independently.* This field is required.
Yes
No
3
Applicant Full Legal Name* This field is required.
First Name
Last Name
4
Applicant Date of Birth* This field is required.
Date
Month
Day
Year
5
Current phone number* This field is required.
6
Applicant Email Address
example@example.com
Confirm Email
7
Optional: Are there any placement or safety considerations we should be aware of?
Huge
Large
Normal
Small
Ok
Ok
8
Applicant Current living situation* This field is required.
Hospital (medical reason)
Hospital (Mental Health related reason)
Homeless
Prison release
Own Home
Hotel
Car
Shelter
Living with relatives
Living with friends
Other
9
Applicant Reason for seeking housing* This field is required.
Why do you want to live here
10
Have you experienced housing instability in the past?* This field is required.
Eviction
Asked to leave
Shelter stay
Couch surfing
Other
Prefer not to say
No
Other
11
Applicant INCOME & EMPLOYMENT Select all that apply* This field is required.
Employment
SSI
SSDI
VA
Retirement
Unemployment
No Income
Other
12
Total Monthly Income* This field is required.
No income
Under $500
$500–$1,000
$1,000–$2,000
Over $2,000
13
I understand that Tornado Group provides program-based housing, not a traditional lease. Program participant agrees to follow all program rules and expectations. I understand that participation may be reviewed or terminated for violations or safety concerns.I understand participants must be able to live independently and manage daily activities without clinical or medical care, including hygiene, meals, mobility, and medications.Signature Required
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14
I understand that Tornado Group provides program-based housing, not a traditional lease. Program participant agrees to follow all program rules and expectations. I understand that participation may be reviewed or terminated for violations or safety concerns.I understand participants must be able to live independently and manage daily activities without clinical or medical care, including hygiene, meals, mobility, and medications.
15
Acknowledgement of Terms and conditions PROGRAM EXPECTATIONS. Must select each to agree
I understand this is program-based housing, not a lease
I understand participation may be terminated for violations or safety concerns
I understand the program is drug-free and alcohol-free
I agree to follow all house rules and expectations
I agree to cooperate with emergency services if needed
I consent to relocation within a Tornado Group home if necessary for safety or program needs
I consent to a current photo being taken for my file for safety and identification purposes
No weapons are permitted
No overnight guests are allowed
Smoking/vaping is permitted only in designated outdoor areas
Chores are assigned on a rotating basis
Participation in house meetings, groups, and workshops is expected
Serious violations may result in immediate discharge
I understand I will be giving a participant packet at move-in that includes all program expectations and requirements and FAQ
I understand Tornado Group has a discharge process for rule violations or safety concerns
I understand I may submit a grievance or complaint according to program procedures
Before final approval into the program, I understand I will receive a full list of program rules, and I agree to follow them
I understand monthly program fees are required to maintain participation
I understand if the monthly program fee is not paid, I will be removed from the program and must leave the home
I understand my personal belongings will be held for up to 7 days after discharge before being discarded
I understand I must notify Tornado Group if I will be away from the home more than 24 hours or overnight
I understand I must notify Tornado Group if I am arrested, detained, or incarcerated
16
Submitting this form does not guarantee housing placement. Availability is limited and subject to program review and space availability.* This field is required.
I understand
17
I consent to be contacted by Tornado Group regarding this inquiry.* This field is required.
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