AHS Home Seeker Application
  • Associated Ministries Universal Program Application

    Adult Home Share Program - AHS Home Seeker
  • Eligibility Requirements:

    Applicants must have an income and pass a background check to participate in the Adult Home Share Program.
  • AHS Home Seeker Application Process

    Thank you for your interest in applying to the Adult Home Share program. This program is for individuals with income who are seeking affordable housing in a shared housing setting. Please note that completing this application does not guarantee housing. Once your application is received, our staff will process your information, run a background check and conduct an in-person intake interview. Once eligibility is determined program staff will work to match you with one of our Adult Home Share home providers. If a potential match is found, a "Match Meet" will be arranged. This is an opportunity for you and the home provider to meet each other and decide whether you want to live together. Either party may decide not to move forward. To complete the application process, copies of your photo ID and proof of income are required. You may upload them with this application or provide them at the time of your intake interview. Incomplete application packets will not be processed and are destroyed after 30 days.
  • Important Note

    Please be aware it is very difficult to find housing matches for home seekers who: smoke; have pets; have additional people they are seeking housing for; have frequent or overnight visitors; or can't afford $550 or more monthly rent.
  • Household Overview of Home Seeker

  • Applicant Basic Information

    Complete the Basic Information section accurately and thoroughly to the best of your ability.  
  • DOB*
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  • Contact Information

    Complete the Contact Information section accurately and thoroughly to the best of your ability.  If you have scheduling or phone/computer access challenges that make it difficult for you to be contacted, we encourage you to provide as much contact information as possible in the fields below so we have the best chance to reach you.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Housing Information

    Complete the Housing Information section accurately and thoroughly to the best of your ability. If unsure of location or length of time at current location, use your best memory to complete the "How Long" and "Physical Address" fields.
  • Start Date
     / /
  • Address

    Physical Address: If houseless, enter the nearest landmark and/or cross streets, with the city, and the zip code where you stay most often.
  • Income Information

    Complete the Income section accurately and thoroughly to the best of your ability. Provide the monthly amounts from all income sources.
  • No Income to record. Click "Next."

  • Emergency Contact

    An Emergency Contact is someone who is able to get ahold of you if we are unable to reach you regarding your services. If you have someone you want us to contact if we can't reach you, add them below.
  • Format: (000) 000-0000.
  • Referred By

    Tell us how you heard about Associated Ministries Adult Home Share Program
  • Program Supplement to Application

    Program Supplement to Application

    Adult Home Share - AHS Home Seeker Supplement
  • Matching Criteria

    Complete the Matching Criteria section accurately and thoroughly to the best of your ability, so we can best match your needs.
  • Type of Pet(s)
  • Acknowledgements & Disclosures

    Acknowledgements & Disclosures

    Adult Home Share - AHS Home Seeker
  • Please read each of the following disclosures carefully.

  • Documentation Requirements and Application Completeness Policy

    Additional information regarding identification and income is required to determine eligibility. The opportunity to uploaded ID and income documentation is provided through this application process. Associated Ministries will use the contact information provided to schedule an intake interview within 5 business days of submission of this application. Application will not be processed until all documentation is received. I understand that my application will not be complete until I submit necessary identification and income verification online or in person to Associated Ministries staff.
  • Agreement of Non-Liability Disclosure

    I understand that the staff of Associated Ministries will use their facilities to bring together those who have available housing (homeowner's) with those who express a desire for housing (home seeker's I, as a home seeker, understand that Associated Ministries is not the agent of either party, but acts only as a facilitator, to provide the opportunity for the parties involved to come together and work out an acceptable housing agreement. I, as a home seeker, am not relying entirely on Associated Ministries as to the homeowner's background or as to condition of the premises and their suitability for my needs. I agree to obtain and/or confirm information myself. Any disputes between the homeowner and home seeker which may arise shall not involve the staff of Associated Ministries, either individually or as a group, and I will not hold staff responsible for any claims, damages, or other consequences which may arise from any home sharing arrangement. I have also been advised to seek the services of an attorney should I have any questions about my legal rights and the laws of the State of Washington.
  • Program Exit Guidelines

    Program Exit Guidelines Associated Ministries is a non-discriminatory, equal opportunity Non-Profit, shared housing agency. We strive to serve Tacoma, larger Pierce County, and South King County, regardless of gender, age, race, religion, sexual preference (gender identity/expression), or socio-economic status. As part of the program, Associated Ministries requires everyone to provide copies of photo identification, Social Security card, and proof of income. In addition to this, all applicants must pass a criminal background check based on the agency's criminal history policy. If a person is having trouble meeting any of these requirements, he or she should talk with staff to discuss alternatives. Below is a list of reasons a participant may no longer receive services and be exited from the program:  This list is not comprehensive and someone may be asked to leave for a number of other reasons another reason in addition to the reasons listed here. In addition, staff may use discretion at anytime and allow a participant to stay in the program based on the nature of the offense. 
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  • Associated Ministries General Release of information

    Associated Ministries Release of Information (general) Associated Ministries Release of Information (general) I hereby authorize Associated Ministries staff to send information to and discuss my personal circumstances with coordinators and staff of other agencies. It is understood that any interchange of information made between staff and coordinators of Associated Ministries and other agencies will be used only for purposes of attempting to determine appropriate services on my and my family's behalf. I also authorize Associated Ministries staff to provide information supplied by myself and information on any arrest and/or criminal convictions obtained by Associated Ministries to potential home sharers in the process of attempting to bring about a home sharing arrangement on my behalf.
  • Criminal History Policy

    As a social service agency, we value safety and well-being of our clients, employees, and volunteers. It is therefore the policy of Associated Ministries to carefully screen all applicants for any criminal charges, arrests, convictions, and warrants. Applicants are screened through the Washington State Patrol. Based on the information received by Associated Ministries through a completed background check, it is our policy not to refer any applicant to the Adult Home Share Program who has been charged, arrested, or convicted of the following crimes within the last ten years: felonies, thefts, domestic violence, crimes of child or elder abuse, and any actions involving destruction of property or physical violence toward persons. Additionally, any active warrants will also serve as grounds for denial of participation from the program, regardless of how old the warrant is. Applicants must resolve all active warrants and go through the appeal process in order to be reconsidered for participation. Clients who possess a criminal history that features sexual crimes, murder, or voluntary manslaughter within their lifetime will be automatically disqualified and unable to request an appeal. Upon receipt of an adverse criminal history report, the applicant will be sent a letter denying their application due to relevant criminal history. It will state which crimes fall under the policy criteria as well as procedures to follow if the client wishes to seek review/reconsideration through the appeal process. The client is allowed a period of two months to schedule a criminal appeal appointment. If the client fails to do so within this given timeframe, they will not be able to reapply for entrance into the program for the next two years. Policy on nondiscrimination: All services offered by Associated Ministries are provided in a manner which is free from discrimination on the basis of race, color, religion, sex, sexual orientation (gender identity/expression), national origin, age, handicap, and familial status.
  • Non Discrimination Disclosure

    All services offered by Associated Ministries are provided in a manner which is free from discrimination on the basis of race, religion, gender (gender identity/expression), sexual orientation, national origin, class, disability, or age.
  • Disclosure Acknowledgements

  • Check each box and enter initials to acknowledge you read the Associated Ministries' disclosure/policy listed and understand the information provided in it
  • Upload Documents

    Please upload identification and income verification documentation.
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  • Application Acknowledgement

    I certify the information provided in this application is true and accurate to the best of my knowledge. Sign and date below.
  • Date
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