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Community Referral Application

Kindly fill out this form to refer a client for supportive housing and stabilization services through Solidity Services. This secure submission is intended for use by social workers, case managers, and community partners. After the form is submitted, our intake team will review the information and follow up within 24–48 hours to initiate the placement process.

Community Referral Application

Please fill out this form to refer a client for supportive housing and stabilization services with Solidity Services. This secure submission is intended for social workers, case managers, and community partners. After it is received, our intake team will review the information and follow up within 24–48 hours to start the placement process.

Referral Source Information

Preferred Method of Contact:
Email
Phone
Birthday
Month
Day
Year
Gender
Type of Support Needed
Housing
Recovery Support
Client's Current Living Situation
Homeless
Shelter
Transitional Housing
With Family and Friends
Preferred Move-In Date
Month
Day
Year
Does the client have a source of income or housing assistance (such as a voucher or program support)?
Our residences maintain a strict policy prohibiting tobacco, alcohol, and drug use. Is the individual you are referring prepared to comply with these requirements during their stay in the program?
Is the individual capable of maintaining independent living with only limited support?
What kind of housing is the individual seeking?

Preferred Contact for Next Steps

Best point of contact for follow-up steps

How Did You Hear About Us?

We welcome collaboration with individuals and organizations that align with our mission. Sharing how you learned about us allows us to recognize our partners and discover new ways to expand our presence in the community.

How did you hear about Solidity Services

How Did You Hear About Us?

We love to know how people find our programs so we can recognize our community partners and continue reaching those who need stable housing. Your answer helps us show appreciation and improve our outreach efforts.

___________________________________________________________________

How did you hear about Solidity Services Housing Solutions?

Consent and Acknowledgment

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