• PSALMS 91 HOMES
 INITIAL HOUSING INQUIRY

    PSALMS 91 HOMES
 INITIAL HOUSING INQUIRY

    Safe • Sober • Structured Independent Living
  • Thank you for your interest in Psalms 91 Homes. We provide safe, sober, structured shared housing for adults who can live independently.

    Please complete this short inquiry form. If the applicant appears to meet the initial requirements, our team will contact them to complete the full screening process.

    Submitting this form does not guarantee approval, acceptance, availability, or placement.

  • Who are you completing this application for?*
  • Is the applicant at least 18 years old?*
  • Format: (000) 000-0000.
  • Preferred contact method*
  • Which housing is the applicant interested in?*
  • What type of room does the applicant prefer?*
  • When the does applicant need housing?*
  • What is the applicant’s current living situation?*
  • What will be used to pay for housing?*
  • Have you had any evictions or criminal convictions within the past 7 years that may affect housing eligibility?*
  • Are there any current court, supervision, or program requirements that may affect your housing or move-in process?*
  • Are you currently required to register as a sex offender?*
  • Are you currently receiving support or services from a case manager, social worker, or agency?*
  • Can the applicant live independently in an alcohol free and illegal drug free shared housing?*
  • Are you willing and able to follow house guidelines concerning respectful behavior, quiet hours, cleanliness, chores, safety and shared spaces?*
  • Are you currently receiving support or services from a case manager, social worker, or agency?*
  • Please review and acknowledge the following program qualifications and disclaimer. To continue with the pre-screening process, each item below must be checked:*
  • Should be Empty: