Housing Connection Form

OPENDOOR CONNECT

RELIABLE HOUSING CONNECTIONS MADE SIMPLE
Referral Form

OpenDoor Connect collaborates with case managers and agencies throughout Detroit and the surrounding areas to help individuals secure safe, affordable housing.

We work directly with trusted landlords and housing providers ready to offer immediate placement opportunities — from shared to private rooms — that meet a variety of client needs.

Please complete the form below to submit the future resident’s information.

Together, we can move people from waiting lists to welcoming homes.

This form is for professional use only.
It’s designed for case managers and referral partners to submit client information for housing placement. Please do not share this link with residents or individuals seeking housing.
Referral Name*
Referral Number*
Please enter a valid phone number.Format: (000) 000-0000.
Referral Email*
example@example.com
Agency or relationship with Future Resident*
THE FOLLOWING INFORMATION IS ABOUT THE FUTURE RESIDENT
FIRST NAME*
LAST NAME*
AGE*
GENDER*
PHONE NUMBER*
DESIRED MOVE-IN DATE*
SOURCE OF INCOME (i.e SSI/SSD, Job)*
MONTHLY INCOME*
MONTHLY BUDGET FOR RENT*
DESIRED AREA*
SPECIAL NEEDS / NOTES*
PRIVATE NOTES ONLY SHARED WITH OUR PLACEMENT TEAM
Please share any additional information that may help the housing placement process. This section will be reviewed before shared with Landlords on a need to know basis.
Please let us know your preferred contact method — should we speak with the resident or with you first?
Should be Empty:

OPENDOOR CONNECT

THE FOLLOWING INFORMATION IS ABOUT THE FUTURE RESIDENT