Preferences: Check the preferences that apply to your household.
An approved preference could affect your place on the waiting list.
A member of the household has a terminal illness (death will result within 24 months as verified by a medical professional).
A member of the household is eligible for services through the Choices for Independence Program (CFI).
A member of the household is an individual transitioning out of a nursing home or an institution.
A member of the household currently serves in the US Armed Forces or has been discharged with an honorable discharge or a discharge based on a service-related injury, illness, or disability.
There is a person with disabilities in the household who is over the age of 18 and under 62.
I am a victim of domestic violence, dating violence, sexual assault or stalking.
The household is rent burdened or at risk of becoming homeless because I/we:
□pay more than half of my/our gross income toward rent, or
□live with friends or relatives. My name is not on the lease. If I were not in this current living arrangement, I would otherwise be homeless, or
□am/are temporarily living in a substandard living situation, i.e., campground or other temporary placement.
The household is homeless because I/we:
□Lack a fixed, regular, and adequate nighttime residence.
□Reside in Permanent Supportive Housing and no longer require intensive services. This program is designed to support the “moving on” of permanent supportive housing tenants who are capable of living in independent community-based housing.
Preferences or Programs that require an agency referral
(Referral is required to qualify for the following)
The household is eligible for transitional housing through FIT or Harbor Homes.
The household is participating in transitional housing through DHHS and they are transitioning from an institution and is in a program receiving case management services through DHHS.
The Household is working with DCYF and qualifies for the Family Unification Program (FUP):
□The family is working with DCYF for whom the lack of adequate housing is the primary reason that our children will be placed in out-of-home care or their return is being delayed for that reason, or
□I am a youth at least 18 years of age and not yet 25 years of age who left foster care or will leave foster care within 90 days and I am homeless or at risk of becoming homeless, or
□Family Youth Independence Program
Mainstream Program: Any person with disabilities in the household over 18 and under 62 who qualifies for a preference within this program because they are:
□Transitioning out of institutional or other segregated settings
□At serious risk of institutionalization because they lack access to supportive services for independent living, or they would be institutionalized if their services were cut, or
□Residents of permanent supportive housing or a rapid rehousing program who have previously