Apply

We know you really want to be a successful contributor to society and those that you love. In order to do that, you need a fresh start. The problem is that can be really hard starting where you are. That can make you feel a bit hopeless.

We think that is just not right!

This is why we created Grace Prosper Housing Foundation. We get it and we have the resources and the plan to help you get back on your feet again. Apply below now so you can stop spinning your wheels and start on the road to rebuilding your life.

Online Application Form

First Name (Required)

Last Name (Required)

E-mail Address (Required)

Phone Number

When do you want to move in? (Required)

City? (Required)

Who Referred You?

Birthdate (Required)

Are you a Vet? (Required)

ID Card #

SSN

Income & Work History

Work Status (Required)

If looking for work, what type of work?

Healthcare

Healthcare? (Required)

Insurance Coverage

List any current or past Mental Health Services or Medications

Are you working with any Agencies? (Required)

If so, which Agencies?

List any current or past Substance Use Disorders, your clean date and your substances of Choice (Required)

Have you or are you receiving treatment or counselling? (Required)

Are you working with any other Case Managers or Organizations? (Required)

What resources are they helping you with?

Housing History

List times you have lost housing and why? (Required)

What is your current housing situation? (Required)

Arrest History

Do you have any outstanding charges or warrants? (Required)

Are you on Parole, Probation or working with any other Case Managers? (Required)

Have you ever been charged with a Sexual Offence? (Required)

Have you ever been charged with an Arson Offence? (Required)

What are you willing to do for your sobriety? (Required)

Administration Office: 361-446-1555
info@graceprosper.com