Saturday, May 27, 2017 
 
 
   
 START NEW SURVEY  
 LOGIN  
 UPDATE CONTACT INFO  
 LEARN MORE ABOUT CRS  
 HOME  





Chicago Central Referral System Assessment Tool




To submit an application, please answer the question below to proceed.


Which of the following choices best describes your current housing situation:

Living on the streets or other location not fit for people to live in like a car, abandoned building, bus/train/subway station or airport

Living in an emergency shelter, in a hotel/motel that is paid for by an organization, or fleeing domestic violence with nowhere to go tonight

Living in an institution (examples include a nursing home, jail or prison, mental health hospital)

Living in an interim housing program

Living in a permanent housing with short-term support program (such as New Hope Apartments, Families Building Community, etc)

Living in a permanent housing unit for formerly homeless persons (such as SHP, Shelter Plus Care, or SRO Mod Rehab)

Staying with family and friends in a room, apartment or house

Temporarily living in a hotel/motel that you are paying for yourself

Renting your own apartment or house (with or without a housing subsidy/program)

Living in an apartment or house that you own



Have you ever served in the United States military?
    Yes
    No



Please click "Continue" below to proceed.



 
Copyright ©2012 Corporation for Supportive Housing. All rights reserved.