Chicago Coordinated Entry System (CES) - Project Eligibility Details Form
Agency and Project Information
Agency Name: *
Project Name: *
Contact Information
Individual Completing Form - Name:
Your answer
Individual Completing Form - Email Address:
Your answer
Primary Contact Person for Matches - Name:
Your answer
Primary Contact Person for Housing Matches - Email Address:
Your answer
Primary Contact Person for Housing Matches - Phone Number:
Your answer
Eligibility Details
Does your project only serve Individuals?
Does your project only serve Households (Families)?
Does your project only serve Youth under Age 25?
If Yes (you only serve Youth under age 25), does your program have scattered site or project based units?
If Yes (you only serve Youth under age 25), does your program have beds that can be filled by Youth Age 18-24 who are unstably housed?
If Yes (you only serve Youth under age 24), does your project have both HUD and RHY funded beds together in the project created in HMIS?
Does your project require that Individuals and/or Households are currently experiencing Homelessness?
Does your project require that Individuals and/or Households are currently experiencing Chronic Homelessness?
Does your project have an income limit or requirement?
If Yes, does the project require that the Individual and/or Household have income to enter the housing project?
If Yes, does the project require that the Individual and/or Family have income at a certain Area Median Income (AMI) Level? Please indicate level(s) client must be at to be eligible.
Does your project require that Individuals or the Head of Household have a Disability?
Please indicate any additional eligibility criteria for the project below.
Your answer
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