Journey to Housing Pre-Screening - Journey to Housing

Book your Journey to Housing- Quick Phone Call Review of Our Housing Program and Your Pre-Screen Questionnaire with Kimberley Demarest now.

Duration: 15 minutes
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Journey to Housing Program

Mission Statement
To witness to the Gospel as we accompany families in Western Wayne County on their journey to housing and to self-sufficiency.

Values
Witness to the Gospel - by our speech and our actions we attest to the truth of the Gospel.

Commitment to the Families Experiencing Homelessness. We stand with and accompany families on their journey to housing.

Reverence - We honor the sacredness and dignity of each person.

Affiliation with the Society of St. Vincent de Paul - We respect and value our affiliation with the Society of St. Vincent de Paul. 

Stewardship - We hold ourselves accountable to the resources entrusted to our care.

Journey to Housing Program Description: 

 

 

The Journey to Housing (JTH) Program is a Catholic Ministry under St. Vincent DePaul Detroit  that helps homeless families living or working in Western Wayne County obtain a place to call home.  The goal is to help families learn life-long strategies that result in stable housing for the future.

JTH requires the families to consistently participate in our Financial Wellness and Family Support Programs. The entire program will require up to 6-9  months of participation and is not emergency assistance nor do we help with past rent amounts owed.  

 

If all participation requirements are met, and the family has completed the program, JTH has many resources to help with transitioning to a home.  Those resources may include future rent assistance, move-in costs, and household furnishings. 

You must be able to participate in services in these areas to be considered eligible for our program:

Canton, Dearborn, Dearborn Heights, Garden City, Inkster, Livonia, Northville, Plymouth, Redford, the City of Wayne, and Westland

The following are requirements for preliminary screening into the Journey to Housing Program:

 

  1. Able to participate in services in one of the above-mentioned cities meaning: You work in this area; You are currently living in this area; Your support system is in this area; etc. Please note that we only house folks in the cities listed above. 
  2. Living in a condition of homelessness with at least one child under the age of 18. Homelessness is defined as living in a motel, shelter, car, on the street or with a family member or friend.
  3. Employed via part-time or full-time work when possible or have other income sources.  You must be able to provide documentation.
  4. Pass a drug test and criminal background check before acceptance
  5. Provide credit reports for application and throughout the process. Note: Journey's will help guide you through the credit repair process

 If you are still interested in our program please proceed below. 



Directions: 

Please read the above program description. If you feel that you qualify and are interested in our program please fill out the information below. 

FIRST APPLICATION INFORMATION: {"type":"text","name":"__generic","width":70,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"First and Last Name"}


{"type":"text","name":"__generic2","width":12,"value":"","size":"Normal","validation":"TI","validationMessage":"Please fill in this item.","placeholder":"Age"}

{"type":"text","name":"__generic3","width":25,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"Date of Birth "}


Marital Status SelectSingleMarriedLegally SeparatedDivorcedLiving Together {"type":"select","name":"__generic8","width":50,"value":"","size":"Normal","validation":"N1","validationMessage":"Please make a selection for this item.","options":"Select\nSingle\nMarried\nLegally Separated\nDivorced\nLiving Together "}


Spouses Name: 
{"type":"text","name":"__generic4","width":75,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"First and Last Name or N/A if not married"}


{"type":"text","name":"__generic5","width":12,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":"Age"}

{"type":"text","name":"__generic6","width":25,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":"Date of Birth "}


Our program requires children/dependents under the age of 18 and that you have legal custody of those children.Do you have children/dependents under the age of 18 and legal custody? 

{"type":"radio","name":"__generic7","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}


Are you homeless? Homeless is defined as living in a motel, shelter, car, on the street or with a family member or friend.

{"type":"radio","name":"__generic9","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}



What are the circumstances that led you to being homeless: 
{"type":"textarea","name":"__generic10","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}


How long have you been homeless?
{"type":"text","name":"__generic11","width":15,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}

# of Days
{"type":"text","name":"__generic12","width":15,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}

# of Months
{"type":"text","name":"__generic13","width":15,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}

# of Years 


Where are you living now?
{"type":"checkbox","name":"__generic14","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Family\nFriends \nVehicle\nCamper \nMotel/Hotel \nShelter\nNot Homeless"}



You must be living or working in the following cities to be considered eligible for our program: Canton, Dearborn, Dearborn Heights, Garden City, Inkster, Livonia, Northville, Plymouth, Redford, the City of Wayne, and Westland. (See below for exceptions)  These cities are the ONLY cities we house folks into: 

Which city do you live in:  {"type":"text","name":"__generic15","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}


Which city do you work in: 
{"type":"text","name":"__generic16","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}



Which city are your children enrolled for school, if currently online or homeschool please indicate that as well: 
{"type":"text","name":"__generic17","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}



If you are not living, working in the following cities (Canton, Dearborn, Dearborn Heights, Garden City, Inkster, Livonia, Northville, Plymouth, Redford, the City of Wayne, and Westland. ) then we will consider accepting you into our program if you are able to move your job to our area. Please write below how you will accomplish getting a job in our area: 
{"type":"textarea","name":"__generic18","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}



How did you hear about Journey to Housing: 
{"type":"checkbox","name":"__generic19","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Internet Search\nLocal St. Vincent DePaul Conference \nSocial Worker \n211\nOther"}




CHILDREN IN THE HOME
Last Name
First Name
Date of Birth
Sex  Age
Applicant  has Legal Custody   Receive Child Support  
{"type":"text","name":"__generic20","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"Our program requires children, please fill in this item if you are eligible.","placeholder":""}

{"type":"text","name":"__generic21","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"Our program requires children, please fill in this item if you are eligible.","placeholder":""}

{"type":"text","name":"__generic22","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"Our program requires children under 18 please fill in this item if you are eligible.","placeholder":""}

SelectMF{"type":"select","name":"__generic23","width":100,"value":"","size":"Small","validation":"N1","validationMessage":"Our program requires children please fill in this item if you are eligible.","options":"Select\nM\nF"}

{"type":"text","name":"__generic24","width":100,"value":"","size":"Small","validation":"TN","validationMessage":"Our program requires children under 18 please fill in this item if you are eligible.","placeholder":""}


SelectYN{"type":"select","name":"__generic25","width":100,"value":"","size":"Small","validation":"N1","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}

SelectYN{"type":"select","name":"__generic26","width":100,"value":"","size":"Small","validation":"N1","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}

{"type":"text","name":"__generic27","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic28","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic29","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectMaleFemale{"type":"select","name":"__generic30","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nMale\nFemale"}


{"type":"text","name":"__generic31","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectYN{"type":"select","name":"__generic32","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


SelectYN{"type":"select","name":"__generic33","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


{"type":"text","name":"__generic34","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic35","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic36","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectMaleFemale{"type":"select","name":"__generic37","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nMale\nFemale"}


{"type":"text","name":"__generic38","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectYN{"type":"select","name":"__generic39","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


SelectYN{"type":"select","name":"__generic40","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


{"type":"text","name":"__generic41","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic42","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic43","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectMaleFemale{"type":"select","name":"__generic44","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nMale\nFemale"}


{"type":"text","name":"__generic45","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectYN{"type":"select","name":"__generic46","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


SelectYN{"type":"select","name":"__generic47","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


{"type":"text","name":"__generic48","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic49","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic50","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectMaleFemale{"type":"select","name":"__generic51","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nMale\nFemale"}


{"type":"text","name":"__generic52","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectYN{"type":"select","name":"__generic53","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


SelectYN{"type":"select","name":"__generic54","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


{"type":"text","name":"__generic55","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic56","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic57","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectMaleFemale{"type":"select","name":"__generic58","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nMale\nFemale"}


{"type":"text","name":"__generic59","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectYN{"type":"select","name":"__generic60","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


SelectYN{"type":"select","name":"__generic61","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


{"type":"text","name":"__generic62","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic63","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


{"type":"text","name":"__generic64","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectMaleFemale{"type":"select","name":"__generic65","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nMale\nFemale"}


{"type":"text","name":"__generic66","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}


SelectYN{"type":"select","name":"__generic67","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}


SelectYN{"type":"select","name":"__generic68","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nY\nN"}




Will all the children listed above be living with you at your new address? If no, please explain.
{"type":"textarea","name":"__generic69","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}



EMPLOYMENT

Current Employment:

Current Employer Name and Position
Employer City 
Start Date
# of hours working per week 
Current Wage
{"type":"textarea","name":"__generic70","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"Please fill in this item ","height":40,"placeholder":"Employer Name "}

{"type":"textarea","name":"__generic71","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"Please fill in this item ","height":40,"placeholder":"Position Title "}


{"type":"textarea","name":"__generic93","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"Please fill in this item ","height":80,"placeholder":""}


{"type":"text","name":"__generic84","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"If you are not employed, please type \"none.\" ","placeholder":""}

{"type":"text","name":"__generic85","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"If you are not employed, please type \"none.\" ","placeholder":""}

{"type":"text","name":"__generic86","width":100,"value":"","size":"Small","validation":"NE","validationMessage":"If you are not employed, please type \"none.\" ","placeholder":""}

 {"type":"textarea","name":"__generic72","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item ","height":40,"placeholder":"Employer #2 Name "}

{"type":"textarea","name":"__generic73","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item ","height":40,"placeholder":"Position Title "}

 {"type":"textarea","name":"__generic74","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item ","height":80,"placeholder":""}

 {"type":"text","name":"__generic89","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}

 {"type":"text","name":"__generic90","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}

 {"type":"text","name":"__generic91","width":100,"value":"","size":"Small","validation":"","validationMessage":"Please fill in this item.","placeholder":""}



PRELIMINARY FINANCIAL INFORMATION

INCOME:

Income Sources:  please check all that apply to you today:
{"type":"checkbox","name":"__generic75","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Monthly Income from Job #1\nMonthly Income from Job #2\nBridge Card\nSocial Security \nUnemployment\nVeteran's Benefits\nChild Support (please choose only if you receive money) \nOther Income"}



Please total up all sources from above that you receive per month: {"type":"text","name":"__generic76","width":35,"value":"","size":"Normal","validation":"TN","validationMessage":"Please fill in this item.","placeholder":"Total $ amount per month"}



If your income doesn't meet our housing requirements, are you willing/able to bring in more income either by obtaining a new job or getting a second job? 
{"type":"radio","name":"__generic77","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}




Assessment of Consent:
Journey to Housing will conduct a criminal background check to proceed with the housing process. Expungements are accepted. Do you consent? 
{"type":"radio","name":"__generic78","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}


Journey to Housing will conduct a credit report assessment to proceed with the housing process. Do you Consent? 
{"type":"radio","name":"__generic79","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}



Journey to Housing will conduct drug testing to proceed with the housing process, if needed. Do you consent? 
{"type":"radio","name":"__generic80","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}



CERTIFICATION 

I certify that the answers to the above questions are true and complete to the best of my knowledge and belief, and I understand that a knowingly false or incomplete answer may be grounds to disqualify me from consideration for, or participation in, the Journey to Housing Program. 

Please use your finger to sign if on a smart phone/ tablet. If on a computer you can use a mouse or the touchpad. 
{"type":"signature","name":"__signature","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please type your name as a e-signature.","height":50}