This service request form is the first step to request services from CLUES Financial and Housing programs. The information you share will be used to help our team understand your needs, prepare for your appointment, and support your services. We handle this information with care and only use it for service-related purposes.

• A more complete session will happen during your one-on-one session.
• We will follow up with you in 30 to 60 days to ensure that the services / resources received supported your housing and financial objectives.
• Rental assistance is not guaranteed.
• After submitting this section, you will be granted access to schedule a 30-minute appointment to connect with a financial and housing specialist. 

We are looking forward to working alongside you to reach your goals. 

1) HIGH CONCERN • Homeless, living on the street, or at risk of eviction within the next 30 days.
2) MODERATE CONCERN • Rent costs represent more than 30% of household income, or the household is living in temporary housing or poor conditions.
3) NEUTRAL • Housing is stable for now, but other factors are creating difficulties (unstable income, debt, etc.).
4) LOW CONCERN • Housing is stable, but with subsidy or outside support (Section 8, rental assistance, etc.).
5) NO CONCERN • Housing is stable and does not require subsidy or outside support.

1) CRITICAL • No income; struggling to cover basic expenses.

2) DIFFICULT • Insufficient income; difficulty covering expenses.

3) MODERATE • Can cover basic needs with some support.

4) STABLE BUT WORRIED • Can cover expenses for now, but there is uncertainty about the future.

5) SECURE • Stable and well-managed income.