Get Salinas/monterey, San Benito Drop-in Center Intake Form Families

Filling out the Salinas/Monterey, San Benito Drop-in Center Intake Form Families online can help streamline your experience and ensure that you receive the necessary services. This user-friendly guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the intake form.

1. Press the ‘Get Form’ button to obtain access to the form and open it in an online editor.
2. Begin by providing your personal information. Fill in your first name, middle name (if applicable), and last name in the designated fields.
3. Enter your social security number in the appropriate field. This is essential for identification purposes.
4. Provide your birth date in the specified format. This information is necessary for verifying your identity.
5. Fill in your contact information by entering your phone or message number and email address for future communication.
6. Answer whether you are of Hispanic or Latino origin by selecting 'Yes' or 'No'.
7. Specify your primary race by selecting one of the options provided. If applicable, also indicate your secondary race (optional).
8. Indicate if you require any special accommodations to access program services by selecting 'Yes' or 'No.'
9. Describe your living situation from the previous night by checking the appropriate box that best represents your circumstances.
10. Specify your housing status by selecting one of the options listed. Consider your current living arrangement carefully.
11. Indicate the length of your present living conditions. You may also need to specify where you resided before if it was less than 30 days.
12. Provide information about the extent of your homelessness by selecting from the options provided.
13. Detail your current or last permanent address, ensuring to include the address, city, state, and zip code.
14. If applicable, indicate whether you have served in the US military by selecting 'Yes' or 'No.'
15. Select the highest grade completed in school from the choices provided.
16. Indicate your marital status by choosing the appropriate option that describes your current situation.
17. Specify if you are currently employed and indicate whether you are actively looking for employment.
18. Answer the question about whether you have a long-duration disability by selecting 'Yes' or 'No.' If 'Yes', specify the details.
19. Enter your current gross monthly income. This should reflect all income sources.
20. Select all applicable income and benefits received, providing amounts for yourself and any dependents under 18.
21. Answer whether you are the head of household by selecting 'Yes,' 'No,' or 'Other.'
22. Indicate the number of children in your household.
23. Provide the name of your spouse or significant other, including first name, middle name, and last name.
24. List the information about all dependent children in your household, including their names, birth dates, and ages.
25. Finally, sign the form to certify that the information provided is true and correct.
26. After completing the form, save any changes made, and choose to download, print, or share the form as needed.

Complete your forms online today to make the process easier and faster.