YWFC and Five Keys HomeFree COVID-19 Emergency Housing Referral Form
Young Women’s Freedom Center (YWFC) and Five Keys are partnering on a COVID-19 Emergency Housing project as part of their larger Home Free program collaboration to provide transitional housing for formerly incarcerated, systems-involved women and transgender, gender non-conforming people who are survivors of various forms of violence, particularly those recently released. If you have a referral for the program, please submit the applicant's information via this form to help us best support you all applicants.
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Email *
Applicant name *
Please check all that apply: *
Required
Where are they currently living/residing? *
Do they have children? *
If yes, how many?
What is the best contact information we can use to reach them? *
The Home Free Emergency Hotel can provide emergency supportive housing and supportive services including access to therapy, 12 step programming and more.  However, the program is not a drug treatment center as we are not equipped for detox and intensive rehabilitation services.  Additionally,  the program is not best suited for people with histories of severe/ difficult diagnoses that have/ or require intensive and complex treatments and support. Is there any additional information we should know about the applicant's needs and capacities regarding physical/mental health, substance use treatment, access needs etc? *
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