Housing Inquiry Form
If you would like to find out if our program has availability, please complete our inquiry form.
*Eligibility does not guarantee acceptance into our program.
To be eligible, you must meet the following requirements. Please check all that apply:
Be deemed homeless, at risk of homelessness or fleeing domestic violence
Be 18 years of age or older
Have at least one dependent child or be in third trimester of pregnancy
Have some form of verifiable income that can meet rent requirement
Be drug and alcohol free and able to pass a drug test (urine)
Not have been charged with or committed any sex offense
Currently residing in Arizona
Rent is $350.00 per month
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