What We Do

Permanent Supportive Housing Pre–Screening Form

If you currently reside in Multnomah County and are seeking permanent housing placement services, please complete the form below and someone from our Housing Team will contact you within 72 hours.

NOTE: Completing this form does not immediately qualify you for permanent housing and services for eviction prevention are extremely limited.

* Required Field

Housed - at-risk of an eviction notice
Housed - have written eviction notice
Staying with friends or family
Staying in a hotel/motel - paying for yourself
Staying in a hotel/motel - paid for by a charitable organization
Living in a place not fit for human habitation (i.e. garage - tent - place without running water or electricity)
Living in shelter or GPD program
Other:  
1-6 months
6 months – 1 year
1-3 years
More than 3 years
Once
Twice
Three or more times
Yes
No
Yes
No
Donate Today!

Ready To Contribute To The Solution? Show Your Support.

Newsletter Signup