Positive Spirits of Life

Transitional Living Interest Form

PSOL supports young adults ages 18–24 working toward stable housing and independence. Housing is for individual adults only; children cannot reside in the program.

Submitting this form does not guarantee placement. Eligibility and availability will be reviewed.

1.Full name

2.Age

3.Phone number

4.Email address

5.Current city/county

6.What is your current housing situation?Staying with family or friends temporarilyStaying in a shelterWithout a safe place to stayAt risk of losing housingOther

7.When do you need housing?ImmediatelyWithin 30 daysWithin 60–90 days

8.What support are you seeking?

Select all that apply.

Transitional housingEmployment or job readinessEducation or trainingBudgeting and independent living skillsConnection to community resources

9.Are you applying for housing for yourself only?

PSOL cannot accommodate children or provide family housing.

YesNo

10.What is the safest way to contact you?

CallTextEmail

May we leave a voicemail?

YesNo

11.Anything else you would like us to know? (Optional)

Please do not include Social Security numbers, financial account information, or medical records.

I understand that PSOL provides housing for individual adults ages 18–24 and cannot accommodate children.I agree that PSOL may contact me about my interest and next steps.

This form is not monitored for emergencies. If you are in immediate danger, call 911.

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