Language
  • English (US)
  • Spanish (Latin America)
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  • Intake Form

  • How many of the following daily living activities can you complete unassisted, please choose an answer from the dropdown menu for each question

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  • HOUSING INTAKE APPLICATION

    It's important to note that our housing options are designed for shared living arrangements rather than individual occupancy. We appreciate your understanding and cooperation in this matter, when considering our housing program.
  • Are you currently considered homeless or transitioning out of homelessness?

  • Today's Date*
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  • Requested Move In Date*
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  • Rental request:*
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  • Date of Birth*
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  • Race*

  • Self Pay - Are you/client currently employed?*

  • Pay Cycle*

  • A requirement of living at Boundless House LLC is to setup a Representative Payee or automatic direct deposit transfer to ensure on time payments and prevent delays in your living arrangements. Are you/client willing to setup this form of payment?*
  • Do you have a vehicle and require parking?
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  •  

    Thank you for your interest in Boundless House, due to your responses to our preliminary questionaire you do not meet the qualification criteria necessary to move forward in the housing application process at this time.

    We understand this news may be disappointing, and we encourage you to explore other housing opportunities that may better suit your needs. Our homes are not currently equipped to provide personal daily need services and support to individuals. Should your circumstances change in the future, you are welcome to reapply. You can also reach out to findhelp.org to find other options in your area.

    Thank you again for considering Boundless House. We wish you the best in your search for housing!

     
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