Saturday, May 27, 2017 

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?

Please click "Continue" below to proceed.

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