Housing Applicaion

Determination of acceptance into Transitional Housing will be made on a case by case basis, based on the following minimum criteria and guidelines.

If you have questions regarding this application, please contact LID at alightinthedarkness617@gmail. com or 320-304-9247

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Eligibility

Applicant must be:

• Completed drug or alcohol treatment

• 18 years old

• Willing to make a change

• Willing to participate in the Transitional Living Program

• Willing to be subjected to random drug tests if requested

• Must be in good health and be socially and functionally independent

Note: this facility is not handicap accessible.

Letter of Support

Do you have a counselor, teacher, or other adult who has knowledge of your current living situation and would be willing to provide a letter of support?

Letters can include:

• Why the writer believes that you will be successful in a transitional living program

• Any relevant past or current information or circumstances on why they believe you would be a good candidate for the program.

Letters do not need to be long, and are not mandatory. They are just used to gather more information that can help LID in identifying suitable candidates.

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Application

Full Name

Date of Birth

Month

Day

Year

Phone

Race

What is your preferred language?

Are you able to understand verbal or written English?

Yes

Preferred method of contact (this will be the way that you are contacted to be informed of your application status)

Gender at birth

Do you have a companion or service animal(s)?

Yes (This facility does not have accommodation for service animals.)

Are you receiving Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI)?

Yes

Why do you feel you would benefit from the LID Transitional Living Program?

I authorize LID Transitional Living Program to contact my personal references and conduct an Adult Criminal History Background Check. I will pay for and apply for my own background Check.

. I understand that information provided by my references, information contained in this application, my personal interviews, and information gathered through background checks will be considered for my acceptance in the LID Transitional Living Program.

I also understand that this is only ONE part of the application process and that final acceptance into the program is based on the decision of the board members and appropriate housing availability at the time of the application.

Housing Applicaion

Eligibility

Letter of Support

Application

Personal Reference

Personal Reference