OLS Referral Form

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OLS Referral Form

This form is used for agency or self referrals to Our Livable Solutions Sleeping Cabin Initiative. Potential residents must be currently experiencing homelessness within the City of Kingston and have an interest in attaining permanent housing.

Full Name *

Best way to contact *

Agency Contact (optional)

Why do you want to stay at the cabins?

What supports do you have already?

For Example: Home Based Housing Case Manager, AMHS, Street Health, Ongwanada

What supports do you need?

For Example: Gaining ID, completing taxes, medical appointments, court appointments, addictions, mental health, attaining housing

What accessibility supports do you need?

For Example: Wheelchair ramp, shower chair, lifts

How long have you been without a home?

Where do you currently stay?

For example: ICH, In From the Cold, park location, tent location

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This form was created inside of Our Livable Solutions.