Get Emergency Shelter Application Revised - Gateway Homeless Coalition

This guide provides clear, step-by-step instructions for filling out the Emergency Shelter Application Revised by the Gateway Homeless Coalition. Completing this form online is an important step in accessing vital shelter services.

Follow the steps to effectively complete your application online.

1. Click ‘Get Form’ button to access the Emergency Shelter Application and open it in the editor.
2. Complete the personal information section, which includes your last name, first name, middle name, date of birth, age, and Social Security number. Provide your marital status and current residential address, along with the city, state, and zip code.
3. Indicate the duration of your stay at your current address and provide a contact telephone number. You will also need to specify your education level and weight.
4. Explain the reason for your current homelessness in the designated field, offering a brief but thorough description.
5. Fill out the previous address section with the same details as your current address, including the length of time at that address and the reason for leaving.
6. Identify your referral source in the provided field, which helps track where the application came from.
7. List all additional family members applying for shelter by providing their names, sex, relationship to the applicant, date of birth, and Social Security numbers.
8. Answer whether you have ever been a resident of Gateway House and specify if you require special accommodations.
9. Indicate if anyone applying for shelter has been to jail, describe the circumstances, and confirm if there are any pending charges or protective orders.
10. Review the non-discrimination policy, conflict of interest statements, and confidentiality permissions, ensuring you understand all parts before signing.
11. In the emergency contact section, provide a name, telephone number, and relationship to the applicant.
12. After completing the form, ensure you save your changes. You may also download, print, or share the form as needed.

Complete your Emergency Shelter Application online today to access the services you need.