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Use this form for Emergency Shelter & Street Outreach Projects Only!ESG Entry Form for HIS: HOUSEHOLDS (Collect information about all household members) Data Collection Instructions: Underlined terms

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How to fill out homeless shelter intake form

01

Obtain a copy of the homeless shelter intake form from the shelter or organization providing the services.

02

Fill out personal information such as name, address, contact information, and emergency contact.

03

Provide details about your current living situation and why you are seeking shelter.

04

Answer any questions about your health, mental health, and any disabilities or special needs you may have.

05

Submit the completed form to the shelter staff for review and processing.

Who needs homeless shelter intake form?

01

Individuals who are experiencing homelessness and are in need of shelter services.

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What is homeless shelter intake form?

The homeless shelter intake form is a document used to gather information about individuals seeking shelter at a homeless shelter.

Who is required to file homeless shelter intake form?

Individuals seeking shelter at a homeless shelter are required to file the homeless shelter intake form.

How to fill out homeless shelter intake form?

Individuals can fill out the homeless shelter intake form by providing accurate information about themselves and their current situation.

What is the purpose of homeless shelter intake form?

The purpose of the homeless shelter intake form is to assess the need for shelter and to determine the appropriate level of care and support required.

What information must be reported on homeless shelter intake form?

Information such as name, age, contact information, current living situation, and reasons for seeking shelter must be reported on the homeless shelter intake form.

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