Get the free Providence Dethman House Application - Supportive Housing

PROVIDENCE STAFF USE ONLY Date×Time Received: Staff Initials: APPLICATION FOR HOUSING WAIT LIST For Emilie House, Providence House, and Ethan House We do not have any vacancies at this time in any

How to fill out providence dethman house application

Who needs a Providence Dethman House application?

1. Individuals who are interested in obtaining residency at the Providence Dethman House, a housing facility for seniors or disabled individuals, will need to fill out the application.
2. The application is designed to gather necessary information about potential residents, including personal details, medical history, and housing preferences.

How to fill out the Providence Dethman House application:

1. Begin by gathering all the required information. This may include your full legal name, date of birth, contact details, and social security number.
2. Next, provide information about your current living situation, including your current address and whether you are residing alone or with someone else.
3. Indicate any medical conditions or disabilities that may require special accommodation at the Providence Dethman House. This includes providing details of any necessary medical treatments or medications.
4. Specify any preferences you may have regarding the type of accommodation you are seeking. This could include the size of the apartment, the floor level, or any specific amenities.
5. Include contact information for any emergency contacts or references that the Providence Dethman House staff may need to reach in case of an emergency or for further information.
6. Review the application thoroughly before submitting to ensure accuracy and completion of all sections.
7. Once you have filled out the application form, sign and date it in the designated area to certify the information provided.
8. Submit the completed application to the designated contact person or department at the Providence Dethman House. Ensure that you follow any additional instructions or requirements provided by the facility.
9. After submitting the application, you may need to wait for a response from the Providence Dethman House regarding the status of your application. Be patient and follow up if necessary.

Remember, the Providence Dethman House application is a crucial step in securing residency at the facility, so it is important to accurately and completely fill out the form to increase your chances of being accepted.

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