Housing Application - Vision House

About Vision House
Vision House provides transitional housing with supportive services in Renton and Shoreline, Washington to help families with children experiencing homelessness move from crisis, to stability and permanent housing. We also have a Diversion Center in Renton to assist families with their immediate needs to help keep them from entering the shelter system.
Requirements to Apply
Applicants must: (1) have custody of their children, (2) all children must be under the age of 18, and (3) applicants must currently be living in Washington State.
Application for Assistance
Please complete this application as thoroughly as possible. Questions marked with * are required. This application WILL NOT SAVE YOUR ANSWERS IF YOU LEAVE THIS PAGE WITHOUT SUBMITTING THIS FORM.
Applicant's Legal Name*
First Last
Nickname or Other Name Used
Age*
Date of Birth*
MM slash DD slash YYYY
How do you identify (gender)?*
Phone*
Email*
What is the best time of day and way to contact you (email or phone call)?*
I am applying with a spouse or significant other*
- Yes
- No
If you are applying with a spouse or significant other, what is their legal name?
First Last
Where are you currently sleeping (Vision House serves families in all of these situations)*
- Living with friends/family
- In a car/tent
- Shelter
- Transitional Housing
If you're living in a shelter or transitional housing, what is the name?
In what CITY are you sleeping/living? You must currently be living in Washington State.*
What form of identification do you have?*
- Driver's License
- State ID Card
- I'm trying to obtain identification
Which of these items do you have?*
- Social Security Number
- Green Card
- Work Visa
- Other (will explain during first phone call)
Do you need interpreter services?*
- Yes
- No
If yes, what language?
Do you currently have a lease?*
- Yes
- No
Are you in immediate risk of eviction?*
- Yes
- No
Current Monthly Income*
Children in Your Custody (MUST have children to apply)*
List each child on a separate line. To add another row, click on the + at the end of the row.
Child's First Name Child's Last Name Child's Age Child's Date of Birth (month/day/year) Child's Identity (Gender)
Comments/Other Information You Would Like to Share?
CAPTCHA

Child's First Name	Child's Last Name	Child's Age	Child's Date of Birth (month/day/year)	Child's Identity (Gender)

About Vision House

Requirements to Apply

Application for Assistance

… until every child has a home.