Rapid Re-Housing Pre-Application
PROGRAM REQUIREMENT - LITERALLY HOMELESS, FAMILY WITH CHILDREN UNDER 18, INCOME LIMIT(133% FEDERAL POVERTY LEVEL) => Please check our program eligibility at here: https://www.aarcatl.org/programs

Please note that filling out this Pre-Application does not mean an automatic acceptance into the AARC RRH program. Case manager will contact you within 2 weeks for further steps in the application process if you are eligible to apply.

NAME *
Your answer
CONTACT NUMBER *
Please include your area code.
Your answer
EMAIL ADDRESS *
We will send you the result via email.
Your answer
HOW MANY CHILDREN DO YOU HAVE LIVING IN THE HOME, IF ANY? *
You MUST have children under the age of 18 in your household.
Your answer
WHERE DID YOUR FAMILY STAY LAST NIGHT? *
HOUSING BARRIER
Are you or have you ever been experiencing any of these? Check all applicable.
ARE YOU A VETERAN? *
ARE YOU EMPLOYED? *
IF YOU ARE EMPLOYED, INDICATE YOUR MONTHLY INCOME. *
If it is a new job, please indicate what will be paid. Family income limit is 133% of FPL.
Your answer
LIST ANY GOVERNMENT ASSISTANCE YOU RECEIVE, IF ANY. *
i.e. Food Stamps, PeachCare, Medicaid, etc. Also include the amount.
Your answer
ARE YOU MARRIED? *
Required
DO YOU RECEIVE CHILD SUPPORT? *
Required
IN THREE OR FOUR SENTENCES, PLEASE EXPLAIN YOUR CURRENT SITUATION. *
Specifically, what events led to you being homeless or on the verge of being homeless?
Your answer
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