Initial Interest Form

 

 
 

 

DO YOU QUALIFY?

We are not equipped to handle certain types of situations. We can only accept your application for further review if you meet ALL of the following. Please check all that apply to you.

1. Your income falls below the average for King County.2. You are a single mother with at least two children in your household.3. You earnestly want help reforming various aspects of your life, so as to break old habits and achieve self-sufficiency in the future.4. You are not being pursued or have a violent abusive (ex) spouse/partner "in pursuit".5. You do not have a current active addiction problem. You have been clean and sober for at least two years.

If all of the above applies to you, then you qualify. please continue filling out this form.

Your Name (required)

Your Email (required)

Your Age (required)

Your Phone (required)

Mailing address for future contact (required)

Other contact person (if needed)

Your family unit (names and ages of children and any other adults) (required)

Briefly describe your current situation and why you need affordable housing (required)

What areas of life currently get in the way of you having the ability to live independently? (required)

Click the Send button OR print and mail to Compassion House, PO Box 2765, Issaquah, WA 98027