Virtual Needs Assessment

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Welcome to the Family Promise Virtual Intake. Family Promise provides homeless services to working families with children in the Gainesville Area. The information provided here will help to determine the type of stabilization services your family needs. We no longer provide rental or utility assistance. Most of our grants are for families that are literally homeless and these families must go through the local Continuum of Care's Coordinated Entry system. When a case worker has the time we will review. You will ONLY receive a call from us if we have any resource that may be able to help or if we have additional questions. Walk-ins are not accepted. We are a very small nonprofit and can only help a few families at a time. We encourage you to seek out alternative places as well.

Email *

Name *

Date of Birth *

Phone Number *

How many people are in your household? *

Is anyone pregnant? *

Yes

How many children in the home under the age of 18? *

What County Are You Currently In? *

Alachua

Bradford

Gilchrist

Levy

Putnam

Other:

Are you currently employed? *

Yes

Where are you currently staying? *

In an apartment/house

With Family or Friends

In a Hotel

In a Vehicle

In a Homeless Shelter

Do you receive food stamps? *

Yes

Do you have a High School Diploma or GED *

Yes

Please provide details about your current situation and the assistance that you are looking for?

End of Assessment

Thank you for answering the assessment. When a case worker has the time we will review. You will ONLY receive a call from us if we have any resource that may be able to help or if we have additional questions.

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