-Be homeless or likely to become homeless in the next 30 days

-Be 18-25 years old and living without children. (If you are 18-25 years old, your parent/guardian must sign consent.)

-Apply to the program voluntarily and be willing to participate in a community environment. (You will have roommates.)

-Have no recent violent charges/convictions and no sexual offenses.

-Be drug and alcohol free. You may apply if you are in a treatment program.

-Have the ability to follow rules and make a commitment to the program.

-Be able to live independently and are committed to working toward self-sufficiency.

-Are not at high risk of becoming suicidal.

-If you have a mental health or developmental disability and/or are taking medication, we will need to have a treatment plan, School Individualized Educational Plan (IEP), or some type of documentation from a professional outlining the diagnosis and treatment.

-If Parson's Place cannot meet relevant needs outlined on document, needs must be able to be met by another agency during your participaiton in the housing program.

Parson's Place utilizes a federally mandated database for intakes, tracking data, and exits. The guidelines for how this database is utilized and secured for your safety is explained here.

-You must have or work toward obtaining your high school degree or GED.

-You must be able to hold a job (minimum 15 hours/week for students; 40 hours/week if not.)

If you feel like you these conditions apply to you and you you able to abide by the program guidelines, select "Yes" to proceed. *

I hereby release Parson's Place and all its agents and employees, the law enforcement agency and all employees of law enforcement agencies furnishing information, from all liability resulting from the furnishing of this information to Parson's Place. I certify that the statements made by me on this form are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that any false statements made herein will void my Application for Residency and any actions based on it.