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Path Application
Path Application
Are you fleeing from Domestic Violence?
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Are you a Veteran?
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Are you currently homeless?
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Are you at risk of being homeless within 14 days?
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Where did you stay last night?
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Hospital, Jail, or Rehab
How long can you stay in your current situation?
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Last
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Email
Date of Birth
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If Outside, exact location
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Do you have a Serious Mental Illness?
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Have you ever received treatment for your mental health?
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Do you have a substance use disorder?
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Do you have any income?
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What is your income?
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