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A Safe, Comfortable Place to Call Home
Quality shared housing in
Port Richey, Florida
designed for individuals looking for affordable, supportive housing.
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Resident Application
First Name
*
Last Name
*
Gender
*
Phone
*
Email
*
Housing Needed
*
Permanent
Transitional
Emergency
Desired Move-In Date
*
Do you have a Case Manager?
*
Yes
No
Case Manager Name
*
Case Manager Organization
*
Case Manager Phone
*
Case Manager Email
*
Have you been in jail or prison within the last 5 years?
*
Yes
No
Charge Description
*
Charge Year
*
Release Date
*
Diagnosed mental health condition(s)?
*
Yes
No
List diagnoses
*
Can you take medications on your own?
*
Yes
No
Sometimes
Health Notes
*
How will rent be paid?
*
SSI/SSD
Non‑profit assistance
Employment
Other
Rent Payment Other Details
*
Proof of Income
*
Benefits card shown
Permission to verify with agency
Bank statements (last 3 months)
Other
Proof of Income Other Details
*
Have you lived in shared housing before?
*
Yes
No
What worked/Didn’t work?
*
Reason for leaving
*
Any challenges we should plan for?
*
Budgeting/finances
Gambling
Substance use
Other
Challenges Other Details
*
Anything else we should know to ensure a good fit?
*
Applicant Consent
*
I confirm the information above is accurate and authorize verification of housing and funding information for screening.
Applicant Signature
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Signature Date
How did you hear about us?
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THE PROCESS
Getting Started Is Simple
We've made the process as straightforward as possible. Here's what to expect from your first inquiry to move-in day.
01
Submit an Application
Young adults who are transitioning out of the foster care system and need a supportive community to help them find their footing.
02
We Reach Out
Our team will contact you within 1–2 business days to discuss your situation and walk you through next steps.
03
Tour the Home
Come see the space for yourself. We'll walk you through and make sure it feels like the right fit before you commit.
03
Move In
Once approved, we'll get you set up in your new home and introduce you to the community.
Faith & Hope Living House
Providing safe, stable housing and a path forward for those who need it most.
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About
Who We Serve
Services
Contact
Resources
Privacy Policy
Terms of Service
Contact
[email protected]
+1 813-829-1842
Serving Port Richey, Florida
© Copyright 2026. Faith & Hope Living House. All Right are Reserved.
Quick Links
About
Who We Serve
Services
Contact
Resources
Privacy Policy
Terms of Service
Contact
[email protected]
+1 813-829-1842
ServingPort Richey, Florida
Faith & Hope Living House
Providing safe, stable housing and a path forward for those who need it most.
© Copyright 2026. Faith & Hope Living House. All Right are Reserved.