Applying starts with our Client Intake Form. It asks real, personal questions — about your housing situation, health, income, and goals — so we can build support that actually fits you. Here's exactly what that looks like.
🔒 A note on privacy before you fill anything out
This form asks for sensitive information — the last 4 digits of your SSN, health and mental health details, income, and background/reentry status. We take that seriously. Right now, this website doesn't have a secure online submission system connected, so please don't email a completed form or submit personal details through this site. Download the PDF, and complete it with us directly using one of the options below.
Grab the PDF above, or call/email us and we'll send it your way — a printed copy works too.
Take your time. If a question feels like a lot, that's okay — reach out and we'll walk through it together, in person or by phone.
Drop it off in person or mail it in. (TODO: confirm your preferred secure intake method — in-person, mail, or a HIPAA-conscious upload tool — and we'll list it here.)
The intake form covers ten areas. Nothing here is a trick question — it's how we figure out the right support for you.