How did you hear about CARE?
Other (please specify)
Which of the following applies to you? (Check all that apply)
Individuals and families who lack a fixed, regular, and adequate nighttime residence and includes a subset for an individual who is exiting an institution where he or she resided for 90 days or less and who resided in an emergency shelter or a place not meant for human habitation immediately before entering that institution;
Individuals and families who will imminently lose their primary nighttime residence and have proof of an eviction notice.
Individuals and families sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason (also referred to as "doubled-up" or "couch-surfing")
Individuals and families living in substandard housing such as, motels, hotels, trailer parks or camping grounds due to lack of alternative adequate accommodations;
Individuals and families living in emergency or transitional shelters;
Individuals and families abandoned in hospitals or youth awaiting stable foster care placement; or
Individuals and families who are fleeing, or are attempting to flee, domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions that relate to violence against the individual or a family member.
Food Insecurity Requirements:
Individuals and families lacking sustainable physical or economic access to enough safe, nutritious, and socially acceptable food for a healthy and productive life.
When the ability to acquire enough food in a socially acceptable way is limited or uncertain.
Foster Care Requirements:
At any time, individuals since 13 years old or older are/were in foster care such as placed with a person or family to be cared for usually by local welfare services or by court order
At any time, individuals since 13 years old or older are/were a dependent of the court.
None of the Requirements given applies to my situation
[if check this box no other prior boxes for this section can be checked]
© 2018 Campus Labs