• Jones Housing Programs – General Interest & Referral Form

    Jones Housing Programs – General Interest & Referral Form. Thank you for your interest in Jones Housing Programs. This form serves as a general starting point for individuals seeking independent housing and case managers, service providers, or others making housing referrals. Please review our housing programs below. If you already know which program is appropriate, you may proceed directly to that program's application. If you are unsure which program is the right fit, complete this General Interest & Referral Form and our team will help direct you to the appropriate next step. Housing placement is subject to program eligibility and current availability.

  • Section 1 - About Jones Housing Programs

  • Thank you for your interest in Jones Housing Programs.

    Jones Housing Programs provides structured independent housing opportunities for individuals and families seeking stable housing and greater independence.

    Our housing programs serve:

    • Adult men
    • Adult women
    • Women with children
    • Young adults ages 18–21, including youth transitioning from foster care
    • Veterans

    Our programs are designed for individuals who are able to live independently. Housing options, eligibility requirements, pricing, and availability vary by program and location.

    Please complete this brief form so our team can better understand your housing or referral needs and direct you to the appropriate program and next steps.

    Important: This is a general interest and referral form and is not an application for housing. Submission does not guarantee acceptance or placement. If an appropriate program is identified, you will receive information regarding the applicable application and next steps.

  • Section 2 — Our Housing Programs

  • Our Housing Programs
    Jones Housing Programs offers independent housing options designed to serve different populations. Please review the programs below.

    If you already know which program fits your housing needs, you may use the appropriate link below to complete the program-specific application. If you are unsure, continue completing this General Interest & Referral Form so our team can help direct you to the appropriate program.

    Jones Second Chance Housing (JSCH)
    Independent housing for adult men.

    Application:
    https://form.jotform.com/251755659966174

    Jones Haven for Women (JHFW)
    Independent housing for adult women.

    Application:
    https://form.jotform.com/252935101060041

    Jones Haven for Women & Children (JHFW&C)
    Independent housing for adult women with children.

    Application:
    https://form.jotform.com/262644921809060

    Jones Pathways for Youth (JPY)
    Independent housing for young adults ages 18–21 transitioning from foster care.

    Application:
    https://form.jotform.com/253384328005151

    Jones Veterans Housing
    Independent housing opportunities for veterans.

    Application:
    https://form.jotform.com/253510754397058

    Not Sure Which Program Is Right for You?
    Please continue completing this Jones Housing Programs – General Interest & Referral Form. Our team will review the information you provide and help direct you to the appropriate housing program and next steps.

    For questions or assistance with the intake process, please contact us at intakejoneshousing@gmail.com

     

  • Section 3 — Your Contact Information

  • Format: (000) 000-0000.
  • Are you completing this form for yourself or someone else?*
  • Relationship to the Individual*
  • Are you referring in a professional capacity?

  • Section 4 — Housing Program Interest

  • Which Jones Housing Program are you interested in?*
  • When is housing needed?*
  • Preferred housing area:*
  • Format: (000) 000-0000.
  • Preferred Method of Contact*
  • Does the individual have verifiable income?*

  • Section 5 — Case Manager / Referral Information

  • I am a*
  • Is the individual able to live independently (no medication administration or 24-hour supervision required)?*
  • Is the individual currently on probation, parole, or under supervision?*
  • Is the individual willing to live in shared housing (if applicable)?*
  • Does the individual have any recent violent offenses (within the past 5 years)?*

  • Section 6 — Tell Us About the Housing Need

  • How can Jones Housing Programs assist you?*

  • Section 7 — How Did You Hear About Us?

  • How did you hear about Jones Housing Programs?**

  • Section 8 — Next Steps

  • What Happens Next?
    Thank you for your interest in Jones Housing Programs.

    If you have not already completed a program-specific housing application, our team will review the information provided and help identify the appropriate Jones Housing Program based on the housing need described.

    You may then be directed to complete the appropriate program application and any additional eligibility, verification, or onboarding requirements.

    Please Note: This General Interest & Referral Form is not a housing application and does not guarantee acceptance, placement, or housing availability.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: